| 超声造影与增强CT在评价肝癌行TACE后疗效的对照研究 |
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| 引用本文： | 黄 崑,刘艳君,王学梅,姜 镔,翟齐西,卞东林. 超声造影与增强CT在评价肝癌行TACE后疗效的对照研究[J]. 现代肿瘤医学, 2015, 0(18): 2670-2673. DOI: 10.3969/j.issn.1672-4992.2015.18.36 |
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| 作者姓名： | 黄 崑 刘艳君 王学梅 姜 镔 翟齐西 卞东林 |
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| 作者单位： | 中国医科大学附属第一医院超声科，辽宁 沈阳 110001 |
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| 基金项目： | 辽宁省科学技术计划项目（编号:2011225035） |
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| 摘 要： | 目的:通过超声造影与增强CT在肝癌行肝动脉化疗栓塞术（TACE）后的影像对照研究，探讨超声造影在肝癌TACE后评估中临床价值。方法:对42例行TACE后的原发性肝癌患者，术后一个月分别行超声造影、增强CT检查，之后行DSA检查，有未栓塞完全病灶再次行TACE,之后将二者的检查结果与术中DSA结果进行对照研究，分析超声造影的特征。结果:行DSA造影后，41名患者行TACE,1名患者未行TACE。而增强CT示36例患者的病灶栓塞不完全，有强化表现，需要再次行TACE，敏感度为87.8%，特异度为100%，阳性预测值为100%，阴性预测值为16.7%，准确度为88.1%。超声造影示40例患者病灶栓塞不完全，有强化表现，需要再次进行TACE,敏感度为97.6%，特异度为100%，阳性预测值为100%，阴性预测值为50%，准确度为97.6%。两组检查结果无统计学差异(P＞0.05)。结论:超声造影检查结果的准确度高于增强CT检查结果，接近DSA检查结果，可以应用于肝癌行TACE后的评价。
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| 关 键 词： | 超声造影 增强CT 肝癌 TACE |
Control study of contrast enhanced ultrasound and contrast enhanced CT in the curative effect of hepatocellular carcinoma after TACE |
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| Huang Kun,Liu Yanjun,Wang Xuemei,Jiang Bin,Zhai Qixi,Bian Donglin. Control study of contrast enhanced ultrasound and contrast enhanced CT in the curative effect of hepatocellular carcinoma after TACE[J]. Journal of Modern Oncology, 2015, 0(18): 2670-2673. DOI: 10.3969/j.issn.1672-4992.2015.18.36 |
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| Authors: | Huang Kun Liu Yanjun Wang Xuemei Jiang Bin Zhai Qixi Bian Donglin |
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| Affiliation: | Department of Ultrasound，the First Affiliated Hospital，China Medical University,Liaoning Shenyang 110001,China. |
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| Abstract: | Objective:By Control study of contrast enhanced ultrasound and contrast enhanced CT in the image of hepatocellular carcinoma after TACE,to investigate the clinical value of contrast-enhanced ultrasound in the evaluation in hepatocellular carcinoma after TACE.Methods:The 42 cases with hepatocellular carcinoma that were done TACE after one month were performed contrast enhanced ultrasound,enhanced CT and DSA examination.The lesions were not embolized completely needed undergo TACE again.After the two examination results and intraoperative DSA findings were compared,and analyzed the characteristics of contrast enhanced ultrasound.Results:There were 41 patients performed TACE and 1 patient without TACE after DSA.Enhanced CT showed 36 cases had incomplete embolism with a performance enhancement and needed a second TACE.The sensitivity was 87.8%,specificity was 100%,the positive predictive value was 100%,the negative predictive value was 16.7% and the accuracy was 88.1%.Contrast enhanced ultrasound showed 40 cases had incomplete embolism with a performance enhancement and needed a second TACE.The sensitivity was 97.6%,the specificity was 100%,positive predictive value was 100%,negative predictive value was 50% and the accuracy was 97.6%.The data of two groups were not statistically significant (P＞0.05).Conclusion:Accuracy of examination results in contrast enhanced ultrasound was higher than that in enhanced CT and closed to the results of DSA examination.Contrast enhanced ultrasound could be applied to hepatocellular carcinoma after TACE. |
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| Keywords: | contrast enhanced ultrasound enhanced CT hepatocellular carcinoma TACE |
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