| 超声造影在特殊部位小肝癌微波消融治疗及近期疗效评价中的价值 |
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| 引用本文： | 王俊东,魏达友,吴绍锋,刘长珠,计宏媛,邝彩虹,李宝金,张影.超声造影在特殊部位小肝癌微波消融治疗及近期疗效评价中的价值[J].医学影像学杂志,2019(6):977-980. |
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| 作者姓名： | 王俊东 魏达友 吴绍锋 刘长珠 计宏媛 邝彩虹 李宝金 张影 |
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| 作者单位： | 广东省广州市第八人民医院超声科;广东省茂名市人民医院超声科;广东省广州市第八人民医院普外科 |
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| 基金项目： | 广东省科技厅科技计划项目(编号:2017ZC0377) |
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| 摘 要： | 目的探讨超声造影在特殊部位小肝癌微波消融治疗及近期疗效评价中的应用价值。方法38例特殊部位小肝癌(48个病灶)行微波消融治疗前l周内行彩超、超声造影和增强CT扫描观察病灶数量、大小、边界、内部回声、造影剂灌注情况等,术中行实时超声造影、融合影像导航等辅导技术下微波消融,术后即刻行超声造影,未消融完全病灶即刻补充消融,术后1个月行彩超、超声造影和增强CT扫描检查,以增强CT表现为标准,检查结果作对比。结果术后即刻实时超声造影检查未消融完全病灶即刻补充消融5例。治疗后1个月超声造影41个病灶在造影各时相均未强化,3个病灶边缘局部动脉期增强,4个病灶判断不清,增强CT41个病灶在造影各时相均未强化,4个病灶边缘局部动脉期增强,3个病灶判断不清,超声造影与增强CT两者差异无统计学意义。超声造影诊断率明显高于彩超检查,两者差异有统计学意义。结论超声造影在特殊部位小肝癌微波消融治疗过程中发挥重要作用,是评价微波消融近期疗效的有效方法。
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| 关 键 词： | 肝癌 超声造影 特殊部位 微波消融 |
The value of contrast-enhanced ultrasonography in microwave ablation of small hepatocellular carcinoma and its short-term efficacy evaluation in special sites |
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| WANG Jundong,WEI Dayou,WU Shaofeng,LIU Changzhu,JI Hongyuang,KUANG Caihong,LI Baojin,ZHANG Ying.The value of contrast-enhanced ultrasonography in microwave ablation of small hepatocellular carcinoma and its short-term efficacy evaluation in special sites[J].Journal of Medical Imaging,2019(6):977-980. |
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| Authors: | WANG Jundong WEI Dayou WU Shaofeng LIU Changzhu JI Hongyuang KUANG Caihong LI Baojin ZHANG Ying |
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| Affiliation: | (Department of Ultrasound,Eighth People's Hospital of Guangzhou,Guangdong Province,Guangzhou 510060,P.R.China;Department of Ultrasound,Maoming People's Hospital,GuangdongProvince,Maoming 525000,P.R.China;Department of General Surgery,Eighth People's Hospital of Guangzhou,Guangdong Province,Guangzhou 510060,P.R.China) |
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| Abstract: | WANG Jundong;WEI Dayou;WU Shaofeng;LIU Changzhu;JI Hongyuang;KUANG Caihong;LI Baojin;ZHANG Ying(Department of Ultrasound,Eighth People's Hospital of Guangzhou,Guangdong Province,Guangzhou 510060,P.R.China;Department of Ultrasound,Maoming People's Hospital,GuangdongProvince,Maoming 525000,P.R.China;Department of General Surgery,Eighth People's Hospital of Guangzhou,Guangdong Province,Guangzhou 510060,P.R.China) |
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| Keywords: | LiveRcancer Contrast-enhanced ultrasound Special site Microwave ablation |
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