超声造影对肝癌微波消融治疗适应症选择的应用评价

目的评价超声造影对制定肝癌微波消融治疗方案的价值。方法 116例患者,共130个肝癌病灶,微波消融治疗前行常规灰阶超声和超声造影检查。结果 51个病灶(39.2%,51/130)CEUS检查后,病灶的最大径线较常规灰阶超声的测值增大;除了原130个病灶外,CEUS检查后另发现9个常规灰阶超声未能显示的新病灶,这些病灶均经病理或其他影像技术证实;共33个病灶(25.3%,33/130)可清晰地显示滋养血管。根据微波消融治疗入选标准,共111例患者,123个病灶接受超声引导下微波消融治疗。结论在微波消融治疗前,超声造影可以帮助了解患者肝癌病灶的性质、大小、数目和滋养血管等情况,有助于微波治疗适应症的选择和治疗方案的制定。

Application of CELLS in the Selection of Indications of Hepatic Malignancies treated with Microwave Ablation

Objective To evaluate the clinical value of CEUS in making treatment protocols for hepatic malignancies before microwave ablation.Methods One hundred and sixteen patients with 130 hepatic malignancies before treatment underwent conventional gray-scale ultrasonography and CEUS examination.Results There were 51 lesions（39.2%,51/130） shown larger size on CEUS than that on conventional gray-scale ultrasonography.Besides 130 lesions on conventional ultrasonoghrphy,additional nine lesions missed on gray-scale conventional ultrasonography were detected by CEUS.Feeding vessels were detected in 33 lesions（25.3%,33/130） with CEUS.According to the indications of hepatic malignancies for microwave ablation,111 patients with 123 lesions received microwave ablation therapy totally.Conclusion CEUS provides more important information on the characters,size,number and feeding vessels of hepatic malignancies before microwave ablation.It helps choosing proper indications and designing the treatment protocols.