摘要
目的探讨超声造影评估肝癌经动脉内化疗栓塞(TACE)疗效的敏感性。方法选取我院行TACE治疗的原发性肝癌患者52例,均为单发病灶,动态观察超声造影各时相病灶血供特点,比较TACE治疗前及治疗后1个月肝癌患者的超声造影特点和数字减影血管造影(DSA)图像及病理随访结果,并对其治疗效果进行判断。结果 TACE治疗前所有病灶超声造影均提示血供丰富,增强模式均为"快进快出"型;治疗后1个月超声造影评估残存病灶血供与DSA检查结果一致性较好,Kappa值=0.83。结论超声造影能敏感显示治疗前后病灶血供情况,在随访肝癌TACE后肝动脉栓塞效果具有非常重要的意义。
Objective To investigate the sensitivity of contrast-enhanced ultrasonography（CEUS） in evaluating therapeutic effect of transcatheter arterial chemoembolization（TACE） in liver neoplasma. Methods Fifty-two patients with simplex lesion of primary hepatic carcinoma who underwent TACE treatment were enrolled in the study. The blood supply of the lesions in every phase were recorded during CEUS examination. The CEUS features were compared with the results of DSA and pathology before and 1 month after TACE treatment. The therapeutic effect of TACE was evaluated. Results Before TACE treatment, CEUS showed abundant blood supply in all the lesions with the enhancement pattern of ＂fast-in and fast-out＂. 1 month after treatment, the remained blood supply of the lesion shown by CEUS was eonsistant with that of DSA with the Kappa --0.83. Condusion CEUS can sensitively display the blood supply of lesions before and after TACE treatment, it has important significance in evaluating the therapeutic effect of TACE in hepatic cancer.
出处
《临床超声医学杂志》
2013年第3期166-168,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声造影
肝脏肿瘤
经动脉内化疗栓塞
疗效
Contrast-enhanced ultrasound
Hepatic tumor
Transcatheter arterial ehemoembolization
Therapeutic effect
