超声造影在原发肝癌TACE与HIFU局部治疗的临床价值

来源 :中国超声医学工程学会第十届全国腹部超声学术会议 | 被引量 : 0次 | 上传用户:kellermanx
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  采用超声造影(CEuS)方法,对54例原发性肝癌患者治疗前及治疗后对原发性肝癌的肝动脉灌注化疗栓塞术(TACE)与高强度聚焦超声(HIFU)联合治疗后的疗效进行评判.超声造影应用Aloka α-10和Siemens S2000彩色多普勒超声诊断仪,频率3.5 MHz,造影剂为SonoVue(六氟化硫微泡),记录造影剂在病灶的开始增强时间、达峰时间、开始消退时间及廓清时间.观察病灶的增强方式、造影前后病灶边界的显示、病灶增强的回声情况,造影后进行时间-强度曲线分析.
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目的 探讨CEUS在肝癌射频消融治疗前、治疗中及治疗后的应用价值.方法 原发性肝癌患者139例171灶,男112例,女27例,年龄21~81岁,平均(54.14±17.89)岁.病灶直径11~101mm,平均58.1mm.所有患者均行CECT、CEUS检查及肿瘤标志物检验.CECT采用PhiliPs 16层螺旋CT扫描机,全肝平扫后行增强扫描.超声设备为德国西门子ACUSON S2000、日本Al