You Position: Home > Paper

Assessment of early-term effects of percutaneous ethanol injection by ultrasonography examination of hepatocellular carcinoma

( views:220, downloads:4 )
Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
24
DOI:
10.3969/j.issn.1009-3079.2007.24.015
Key Word:
二维及彩色多普勒超声;无水乙醇;介入治疗;肝细胞癌;早期疗效

Abstract: 目的:探讨二维及彩色多普勒超声评价无水乙醇治疗肝细胞癌早期疗效的临床应用价值.方法:经皮无水乙醇瘤内注射(PEI)治疗137例肝细胞癌患者(156个肿块,肿块直径1.4-5.0cm),于PEI疗程结束后1 wk,采用二维声像图(2D)、彩色多普勒血流显像(CDFI)、彩色多普勒能量图(CDE)检查技术,以2D的特定改变、CDFI及CDE血流信号显示的有无作为评价PEI早期疗效的观察指标,并行组织学活检病理检查.结果:以病理检查结果为金标准,2D,CDFI,CDE评价PEI治疗后肿瘤的灭活情况,其敏感性分别为:33.3%,50.0%,77.8%,准确性分别为:71.2%,78.8%,90.4%,Kappa值分别为:0.278(P<0.05),0.486(P<0.01),0.779(P<0.01).结论:2D,CDFI,CDE动态监控PEI治疗过程对指导治疗意义重大,CDFI,CDE评价PEI早期疗效结果客观可靠,CDE可以敏感而直观的显示PEI治疗后肿瘤周边及内部残存的血流信号,对指导PEI治疗时机及靶目标的选择以提高疗效具有重要的临床应用价值.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn