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1、現(xiàn)代醫(yī)學(xué)2014M,Aug;42(8):876.879·876·odernMedicalJournal’??!??!ふ撝ほ蘴實(shí)時(shí)超聲造影在肝癌射頻消融117:1I效果評(píng)價(jià)中的應(yīng)用研究沈神,張煒煒,邱君斕,蔣智明,周鐵(南京大學(xué)醫(yī)學(xué)院附屬鼓樓醫(yī)院外科超聲室,江蘇南京210008)[摘要]目的:探討肝癌射頻消融(radiofrequencyablation,RFA)后實(shí)時(shí)超聲造影(contrast’enhancedultrasound,CEUS)對(duì)判斷治療效果的臨床應(yīng)用價(jià)值。方法:對(duì)經(jīng)RFA治療的205例肝癌患者205個(gè)病灶術(shù)后1個(gè)月
2、分別進(jìn)行常規(guī)超聲和低機(jī)械指數(shù)(MI<1.0)CEUS檢查(造影劑為SonoVue),比較分析常規(guī)超聲與CEUS在評(píng)價(jià)肝癌射頻消融效果及局部復(fù)發(fā)中的應(yīng)用價(jià)值。所有患者均同期行增強(qiáng)cT或增強(qiáng)MRI檢查。結(jié)果:常規(guī)超聲檢查提示92個(gè)痛灶(44.9%)周邊出現(xiàn)低回聲區(qū),或于痛灶局部檢及血流信號(hào),常規(guī)超聲判斷消融不全或局部復(fù)發(fā)的敏感性為77.5%,特異性為76%;CEUS檢查提示80個(gè)病灶(39.0%)于動(dòng)脈期可見造影劑局部充填,CEUS判斷消融不全或局部復(fù)發(fā)的敏感性為97.5%,特異性為98.4%。結(jié)論:與常規(guī)超聲比較,CEUS可以更準(zhǔn)確判
3、斷RFA術(shù)后消融程度及局部復(fù)發(fā)情況,與增強(qiáng)CT/MRI相當(dāng),可為射頻治療術(shù)后療效的判斷提供可靠的影像學(xué)依據(jù)。[關(guān)鍵詞]實(shí)時(shí)超聲造影;肝臟腫瘤;射頻消融[中圖分類號(hào)]R735.7;R730.41[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1671。7562(2014)08—0876。04doi:10.3969/i.issn.1671—7562.2014.08.010Clinicalapplicationofreal。timecontrast。enhancedultras0n0graphyforlivercancerassessmentafterrad
4、iofrequencyablationSHENYi,ZHANGWei。wei,QIUJun。lan,JIANGZhi。ming,ZHOUTie(DepartmentofSurgicalUltrasound,theAfiliatedDrumTowerHospitalofngUniversityMedicalSchool,№ng210008,China)[Abstract]0bjective:Toinvestigatetheclinicalvalueofreal—timecontrast。enhanceduhrasonography(C
5、EUS)inevaluatingthetherapeuticefficacyofradiofrequencyablation(RFA)forlivertumor.Methods:205lesionsof205HCCpatientswereexaminedbybothconventionalultrasoundandreal—timeCEUS(SonoVue,MI<0.1)onemonthafterRFA.DifferencesbetweenconventionalultrasoundandCEUSwerecomparedineval
6、uatingthetherapeuticefficacyandlocalrecurrence.Alllesionswereconfirmedbycontrast‘enhanceCTorMRIscanatthesametime.Results:ConventionalultrasoundfoundlOWechoareasaroundorbloodinflowsinside92lesions(44.9%).Thesensitivityandspecifityofconventionalultrasoundwere77.5%and76%r
7、espectively.CEUSfoundthat80lesions(39%)presentedpartialcontrastenhancementonarterialphase.Thesensitivityandspecifityofconventionalultrasoundwere97.5%and98.4%respectively.Conclusion:CEUSismoreaccurateinidentifyingthecompletenessofablationandlocalrecurrenceafterRFA,provi
8、dingareliablemodalityinevaluating[收稿日期]2014一O1_08[修回日期]2014—06—24[作者簡介]沈稀(1981一),男,江蘇南通人,住院醫(yī)師。E‘mail:syps2@sina.coal[