【摘 要】
:
目的 超声造影与常规超声两种方法引导TACE术后肝癌微波消融术,观察二者疗效有无变化方法 将来我科进行微波消融治疗的TACE术后肝癌患者分为A、B两组.所有患者均经肝穿刺活检或两种影像学检查确诊,并满足以下条件:肝功能Child分级A或B级;无门静脉癌栓及动静脉瘘;不合并其它重要脏器功能的中重度损害;无严重凝血功能障碍;无腹水及黄疸.A组运用常规彩超引导.常规彩超观察病灶,结合增强CT或增强MRI
【出 处】
:
中国超声医学工程学会第十届全国腹部超声学术会议
论文部分内容阅读
目的 超声造影与常规超声两种方法引导TACE术后肝癌微波消融术,观察二者疗效有无变化方法 将来我科进行微波消融治疗的TACE术后肝癌患者分为A、B两组.所有患者均经肝穿刺活检或两种影像学检查确诊,并满足以下条件:肝功能Child分级A或B级;无门静脉癌栓及动静脉瘘;不合并其它重要脏器功能的中重度损害;无严重凝血功能障碍;无腹水及黄疸.A组运用常规彩超引导.常规彩超观察病灶,结合增强CT或增强MRI图像,确定区域,进行微波消融治疗.B组运用超声造影引导.常规超声及超声造影观察病灶,选取动脉相呈高增强区域布针,确认微波天线精确布于动脉相呈高增强区后进行微波消融治疗.根据病灶大小,确定行单针或双针治疗.术后一周复查超声造影、增强CT或增强MRI以评价疗效.结果使用StstaT.0统计学软件进行分析,P<0.05认为有统计学意义.
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