T联合超声成像在原发性肝癌射频消融中的应用价值.docVIP

CT联合超声成像在原发性肝癌射频消融中的应用价值 陈欣菊1骈林萍2窦允龙3张传雷1 河南中医学院第一附属医院郑州450000 】 目的】探讨CT联合超声成像在原发性肝癌射频消融中的应用价 值。 方法】选择80例拟进行射频消融的原发性肝癌患者，分成观察组和对照组， 每组各40例。射频消融治疗前80例患者均进行肝脏CT三期增强扫描。观察组 在CT联合超声引导下进行射频消融，对照组在单纯CT引导下进行射频消融。术 后行CT增强检查，比较两组间病灶完全消融率的差异。术后1只再次行CT增强 复查，比较两组间病灶复发率之间差异。 结果】术后行CT肝脏三期增强检查， 观察组病灶完全消融率(97.5%)高于对照组(85.0%), P0.05o术后1月复查， 观察组病灶复发率(7.5%)低于对照组(15.0%), P0.05o 结论】CT联合超声 成像可以更清晰地显示原发性肝癌病灶的形态、大小、数目和位置，有助于提高 肝癌病灶的完全消融率及降低病灶的复发率。 关键词】原发性肝癌，X线计算机成像，体层摄影术，超声成像，射频消 融 Abstract： objective】 To investigate the usefulness of CT combined with B ultrasound in procedures of ablation for hepatocellular carcinoma( Hcc).[Methods] 80 patients with primary liver cancer proposed radiofrequency ablation were divided into observation group and control group，40 cases in each group.80 patients underwent liver phase enhanced CT scan Before radiofrequency ablation.observation group was underwent in the CT combined with B ultrasound, control group underwent CT guidance alone.After treatment, the difrerence of complete ablation rate between the two group was compared. A month After treatment, the difference between the lesion recurrence rate between the two groups was compared.[Results]liver CT scans enhanced Postoperative, The combination of CT combined with B ultrasound and CT alone obtained higher incidence of complete ablation in HCC lesions (97.5% vs 85.0%，P0.05) .After a month，the observation group lesion recurrence rate than the control group (7.5% vs 15.0%，P0.05). conclusion】 CT combined with ultrasound can be more clearly display primary liver cancer lesions，size，number and location，which to help to improve the incidence of complete ablation and reduce the recurrence rate of lesions. Keywords： hepatocellular carcinoma，X-ray computer imaging, tomography， ultrasound imaging, radiofrequency ablation 原发性肝癌目前仍是恶性程度较高、死亡率较高的恶性肿瘤之一。0前首选 治疗方法仍为手术切除［1】，但是肝癌切除率仅10%?30%，且术后5年内再发 及复发率较高，所以外科手术的地位近年来呈逐渐下降趋势。目前，射频消融(RFA) 治疗给肝癌患者提供重要的治疗手段［2-4］,其疗效背定，且微创、安全，已成为 治疗肝脏恶性肿瘤的重要方法之一［5】。0前关于不同引导方法对射频消融效果 方面