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。
Objective To explore the value of contrast-enhanced ultrasound（ CEUS） in evaluating the effect of liver cancer ablation. Methods A 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. Results A 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. Conclusions Application 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.
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第1期26-28,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
超声造影
肝癌
消融
Contrast-enhanced ultrasound
Liver cancer
Ablation
