【摘 要】
：
目的：探讨超声造影(CEUS)评价肝癌经皮射频消融(RFA)阻断肿瘤血供的效果以及对指导RFA治疗的应用价值.方法：经超声引导下穿刺活检后病理证实的71例75灶富血供肝癌因不宜行动脉栓塞化疗(TACE)或TACE疗效不佳拟行RFA治疗纳入本研究.患者分为A、B两组；超声造影组38例39灶为超声造影组，肿瘤平均大小4.4± 1.2cm(范围3.2 ～7.1cm)，根据CEUS确认肿瘤荷瘤血管及浸润范
【机 构】
：
龙江省哈尔滨市第一医院超声科 北京大学肿瘤医院超声科
【出 处】
：
中国超声医学工程学会第三届全国介入超声医学学术会议
论文部分内容阅读
目的：探讨超声造影(CEUS)评价肝癌经皮射频消融(RFA)阻断肿瘤血供的效果以及对指导RFA治疗的应用价值.方法：经超声引导下穿刺活检后病理证实的71例75灶富血供肝癌因不宜行动脉栓塞化疗(TACE)或TACE疗效不佳拟行RFA治疗纳入本研究.患者分为A、B两组；超声造影组38例39灶为超声造影组，肿瘤平均大小4.4± 1.2cm(范围3.2 ～7.1cm)，根据CEUS确认肿瘤荷瘤血管及浸润范围，并在彩超引导下首先消融荷瘤血管入口区域(PAA)；即刻行CEUS评估肿瘤区域灌注及荷瘤血管阻断程度，并指导沿肿瘤外周区域及血供区域行肿瘤整体消融.
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