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Comparison of CEUS and enhanced CT in evaluating efficacy of TACE for hepatocellular carcinoma
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 1
- DOI:
- 10.11569/wcjd.v27.i1.63
- Key Word:
- 原发性肝癌;超声造影;计算机断层扫描;经导管肝动脉化疗栓塞术
Abstract： 目的 探讨超声造影(contrast-enhanced ultrasound,CEUS)和增强CT对原发性肝癌(hepatocellular carcinoma,HCC)经导管肝动脉化疗栓塞术(transcatheter artery chemoembolization,TACE)治疗后的疗效评估价值.方法 选取在我院接受TACE术治疗的96例HCC患者作为研究对象,共计128个病灶.均于术后1 mo接受数字减影血管造影(digital subtraction angiography,DSA)、CEUS和增强CT检查,并以DSA结果作为“金标准”,比较CEUS和增强CT在评估TACE术后疗效的临床价值.结果 CEUS诊断HCC肿瘤残留的灵敏度(95.18％)、准确度(95.31％)分别为高于增强CT的灵敏度(84.34％)、准确度(88.28％),差异有统计学意义(P＜0.05);CEUS和增强CT诊断HCC肿瘤残留的特异度均为95.56％,两者比较差异无统计学意义(P＞0.05).结论 运用CEUS能准确地评估HCC经TACE术后的肿瘤残留状态,具有较高的临床价值,能为TACE术后疗效评估提供一种可靠的影像学方法.
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