| 刘健,黄道中,张青萍,胡道予,周元媛.彩色多普勒超声对影响肝癌经肝动脉化疗栓塞术疗效相关因素的研究[J].中国医学影像技术,2005,21(11):1723~1725 |
| 彩色多普勒超声对影响肝癌经肝动脉化疗栓塞术疗效相关因素的研究 |
| Color Doppler ultrasound in relative factors influencing effect of liver cancer after transcatheter arterial chemoembolization |
| 投稿时间：2005-06-10 修订日期：2005-08-31 |
| DOI： |
| 中文关键词: 超声检查,多普勒,彩色 肝肿瘤 肝动脉化疗栓塞 |
| 英文关键词:Ultrasonography, Doppler, color Liver neoplasms Transcatheter arterial chemoembolization |
| 基金项目: |
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| 中文摘要: |
| 目的 评估彩色多普勒超声在提示TACE术后肝癌复发及预后方面的价值。方法 原发性肝癌77例,术前以彩色多普勒超声观察病变的大小、边界、内部回声、血供、肿瘤血管形态、门静脉癌栓形成及肝硬化。术后分析以上因素与TACE疗效的关系。结果 有随访结果的65例,随访0.5~3年,其中肝癌结节直径≤10 cm组TACE疗效明显高于直径＞10 cm组(P＜0.05);癌结节边界清晰、不伴有门静脉栓子组疗效高于癌结节边界不清晰、伴有门静脉栓子组(P |
| 英文摘要: |
| Objective To assess the value of color Doppler ultrasound in indicating the recurrence and prognosis of liver cancer after transcatheter arterial chemoembolization (TACE). Methods Seventy-seven patients with hepatocellular carcinoma were enrolled. The size, margin, echogenicity, blood supply, vascularity of the tumors, liver cirrhotic and portal vein tumor thrombosis were observed before TACE. The relationship between these relative factors and efficacy of treatment were analyzed retrospectively. Results Sixty-five patients were followed-up for 6 months to 3 years. The efficacy of TACE in treating lesions ≤ 10 cm were obviously higher than that in lesions > 10 cm in the diameter (P＜0.05). Clear border line with portal vein tumor has higher therapeutic efficacy than unclear border line without portal vein tumor (P＜0.05). The tumor with branch or net blood type have enough lipiodol accumulated and high efficacy after TACE. Conclusion Ultrasonic analysis before TACE can indicate relative factors influencing the effect of liver cancer after TACE, and it is profitable to treatment plan and early diagnosis of recurrent. |
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