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超声造影在肝癌射频消融治疗中的作用
引用本文:张令海,袁庆忠,纪永利,卜庆敖,崔涛,徐付印. 超声造影在肝癌射频消融治疗中的作用[J]. 中国现代普通外科进展, 2011, 14(1): 38-41. DOI: 10.3969/j.issn.1009-9905.2011.01.012
作者姓名:张令海  袁庆忠  纪永利  卜庆敖  崔涛  徐付印
作者单位:1. 胜利油田中心医院超声科,山东东营,257034
2. 胜利油田中心医院肝胆外科,山东,东营,257034
摘    要:目的:探讨超声造影(CEUS)在肝癌冷循环射频消融(RFA)治疗中的应用价值。方法:选取肝癌患者20例25个病灶为观察对象,RFA治疗前行CEUS确定肿瘤的性质、数目和大小,治疗后1个月内和随访10个月后行CEUS与增强CT对比疗效评价。结果:治疗后1个月内CEUS复查,20个消融病灶各期均无异常增强区,提示肿瘤完全灭活;4个边缘局部有早期增强,提示肿瘤残留,增强区经增强CT及穿刺活组织检查证实为肿瘤残留,当即补充RFA治疗;1个CEUS图像模糊,未能作出诊断。随访10个月,1个消融病灶有残留复发,4例患者行CEUS发现新生病灶11个,直径0.6-3.8 cm,其中2例4个直径〈1.0 cm的病灶增强CT未能发现。结论:CEUS可以在RFA治疗前为治疗方案提供依据,在治疗后判断RFA疗效,是一种有效方法,并有助于发现微小新病灶。

关 键 词:肝肿瘤  超声造影  射频消融

Effect of contrast-enhanced ultrasound radiography to the radiofrequency ablation of liver cancer treatment
ZHANG Ling-hai,YUAN Qing-zhong,JI Yong-li,BU Qing-ao,CUI Tao,XU Fu-yin. Effect of contrast-enhanced ultrasound radiography to the radiofrequency ablation of liver cancer treatment[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(1): 38-41. DOI: 10.3969/j.issn.1009-9905.2011.01.012
Authors:ZHANG Ling-hai  YUAN Qing-zhong  JI Yong-li  BU Qing-ao  CUI Tao  XU Fu-yin
Affiliation:ZHANG Ling-hai1,YUAN Qing-zhong2,JI Yong-li1,BU Qing-ao2,CUI Tao2,XU Fu-yin1 1Department of Radiology,2Department of Hepatobiliary Surgery,Shengli Oilfield Central Hospita(lDongying 257034,China)
Abstract:Objective: To understand the value of contrast-enhanced ultrasound radiography(CEUS) to the radiofrequency ablation(RFA)of liver cancer treatment.Methods: Select 25 lesions of 20 patients with liver cancer,do CEUS to define the nature,the number and size of the tumor be-fore RFA,to evaluate the efficacy with CEUS within 1 and 10 months after treatment,and compare the results with enhanced CT.Results: Do CEUS within 1 month after treatment,no abnormal en-hanced areas were found in all phases of 20 ablation l...
Keywords:Liver neoplasms.Contrast-enhanced ultrasound.Radiofrequency ablation  
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