[1]王树松*,李春梅,李燕.超声造影评价肝癌消融疗效的价值[J].中国微创外科杂志,2018,18(1):26-28.
　Wang Shusong,Li Chunmei,Li Yan..Value of Contrast-enhanced Ultrasound in Evaluation of Liver Cancer Ablation Curative Effects[J].Chinese Journal of Minimally Invasive Surgery,2018,18(1):26-28.
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超声造影评价肝癌消融疗效的价值()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年1期
页码:
26-28
栏目:
临床研究
出版日期:
2018-03-21

文章信息/Info

Title:
Value of Contrast-enhanced Ultrasound in Evaluation of Liver Cancer Ablation Curative Effects
作者:
王树松*; 李春梅; 李燕
山东省青岛市黄岛区第二人民医院超声科，青岛266400
Author(s):
Wang Shusong;  Li Chunmei;  Li Yan.
Department of Ultrasound, Second People’s Hospital of Huangdao District, Qingdao 266400, China
关键词:
超声造影; 肝癌; 消融
Keywords:
Contrast-enhanced ultrasound; Liver cancer; Ablation
文献标志码:
A
摘要:
目的探讨超声造影（contrast-enhanced ultrasound，CEUS）在肝癌消融疗效评价中的价值。方法2008年5月~2016年10月,对46例肝癌(60个病灶)行微波消融治疗，1个月复查，均行彩色多普勒血流显像（color Doppler flow imaging，CDFI）、增强CT（contrast-enhanced CT，CECT）、CEUS检查，对任一检查阳性的病灶进行穿刺活检。结果CECT检出阳性病灶12个，穿刺活检证实为肿瘤残留。CEUS检出其中的11个（漏诊率8.3%，1/12），CDFI检出CEUS阳性中的8个（漏诊率33.3%，4/12）。均无假阳性。结论CEUS评价肝脏肿瘤消融疗效方法简单、结果可靠、无辐射，在肝脏肿瘤消融后随访、引导残留病灶活检和治疗中优势明显。
Abstract:
ObjectiveTo explore the value of contrast-enhanced ultrasound (CEUS) in evaluating the effect of liver cancer ablation.MethodsA total of 46 patients with liver cancer (60 lesions) were treated with microwave ablation between May 2008 and October 2016. After 1 month, color Doppler flow imaging(CDFI), contrast-enhanced CT (CECT) and CEUS examinations were performed. A biopsy was performed on each of positive lesions.ResultsA total of 12 positive lesions were detected by CECT, and the biopsy proved to be residual tumor. A total of 11 lesions were detected by CEUS (the rate of missed diagnosis was 8.3%, 1/12). In CEUS positive lesions, 8 lesions were detected by CDFI (the rate of missed diagnosis was 33.3%, 4/12). There were no false positives.ConclusionsApplication of CEUS to evaluate the effect of liver tumor ablation is simple, reliable, and non-radiative. It has obvious advantages in follow-ups after liver tumor ablation and guided biopsy and treatment of residual lesions.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，E-mail：jnshusong@163.com
更新日期/Last Update: 2018-03-21