摘要
目的探讨门静脉超声造影在经皮选择性肝门静脉分支穿刺栓塞化疗(SPVE)中的应用价值。方法 28例计划行SPVE的肝恶性肿瘤患者,其中11例采用常规彩色多普勒超声指导SPVE(常规组),17例采用门静脉超声造影指导SPVE(造影组)。术后2～4周行CT检查,了解栓塞情况。结果 3例造影组的患者因为门静脉超声造影提示不适合做门静脉栓塞而放弃SPVE治疗,其余25例患者均顺利进行SPVE治疗。术后CT显示常规组2例出现异位栓塞,造影组14例均未见异位栓塞。结论门静脉超声造影对SPVE有很好的指导意义。
Objective To explore the value of ultrasono-portography using SonoVue in selective portal vein embolization（SPVE）.Methods Twenty-eight patients with malignant liver tumors underwent percutaneous ultrasound-guided SPVE.The procedure was performed under color Doppler ultrasound guidance in 11 cases（conventional group） and under guidance with ultrasono-portography using SonoVue in 17 cases（contrast group）.Contrast-enhanced CT was performed 2-4 weeks after SPVE to evaluate the effect of embolization.Results The procedure of SPVE was aborted in 3 cases in which ultrasonoportography showed contraindications.Postoperative contrast-enhanced CT showed ectopic embolization in 2 cases in the conventional group,and none of the cases in the contrast group showed ectopic embolization.Conclusion Ultrasono-portography using SonoVue can provide important assistance for SPVE.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2010年第11期2469-2471,共3页
Journal of Southern Medical University
基金
浙江省医药卫生科技研究基金(2005B014)
关键词
超声检查
介入性
门静脉造影术
肝肿瘤
栓塞
治疗性
ultrasonography
interventional
portography
liver neoplasms
emblization
therapeutic
