实时超声造影与增强CT在肝恶性肿瘤行肝动脉插管化疗栓塞治疗后的临床价值.docVIP

实时超声造影与增强CT在肝恶性肿瘤行肝动脉插管化疗栓塞治疗后的临床价值 　　[摘要] 目的 研究实时超声造影与增强CT在肝肿瘤行肝动脉插管化疗栓塞治疗后的临床应用价值。 方法 回顾性分析在我院治疗的肝肿瘤患者55例，其中原发性肝癌42例，肝转移性肿瘤13例，所有患者在介入肝动脉插管化疗栓塞治疗后进行超声造影与增强CT扫描的检查。 结果 超声造影与增强CT的动脉期快速树枝状增强相似，其他方面均基本一致，实时超声造影与增强CT不同时相的增强状况差异比较无显著性（P 0.05）。 结论 超声造影与增强CT在分析肿瘤复发和残留方面的灵敏性、准确性比较差异无显著性，均可准确地检测病灶的情况。 　　[关键词] 实时超声造影；增强CT；肝肿瘤；肝动脉插管化疗栓塞术 　　[中图分类号] R735.7 [文献标识码] B [文章编号] 1673-9701（2013）34-0088-02 　　Clinical value of contrast-enhanced ultrasonography and enhanced CT after hepatic artery catheterization chemotherapy and embolization therapy for malignant tumor of liver 　　SONG Xia 　　Department of Ultrasonography， Cancer Hospital of Xiangxi Tujia and Miao Autonomous Prefecture in Hunan Province， Jishou 416000， China 　　[Abstract] Objective To study clinical value of contrast-enhanced ultrasonography and enhanced CT after hepatic artery catheterization chemotherapy and embolization therapy for tumor of liver. Methods A total of 55 patients with tumor of liver， including 42 patients with primary carcinoma of liver and 13 patients with metastatic tumor of the liver in our hospital were analyzed retrospectively. All patients did contrast-enhanced ultrasonography and enhanced CT after hepatic artery catheterization chemotherapy and embolization therapy. Results Rapid dendritic enhancements in arterial phase was similar， the otherwise were same basically between contrast-enhanced ultrasonography and enhanced CT. There were no significant difference of enhanced status in different phase between contrast-enhanced ultrasonography and enhanced CT （P 0.05）. Conclusion The difference of sensitivity and accuracy in analyzing recurrence and residue of tumor between contrast-enhanced ultrasonography and enhanced CT are not significant. The contrast-enhanced ultrasonography and enhanced CT may both detect lesions exactly. 　　[Key words] Contrast-enhanced ultrasonography； Enhanced CT； Tumor of liver； Hepatic artery catheterization chemotherapy and embolization 　　据报道，大多数的肝癌患者要接受肝动脉插管化