[1]裴宇. 多层螺旋CT灌注参数评价肝癌经动脉化疗栓塞术后疗效[J].中国医学物理学杂志,2018,35(2):191-194.[doi:DOI:10.3969/j.issn.1005-202X.2018.02.014]
　PEI Yu. Application of multi-slice spiral CT perfusion parameters in the evaluation of curative effect of TACE for hepatocellular carcinoma[J].Chinese Journal of Medical Physics,2018,35(2):191-194.[doi:DOI:10.3969/j.issn.1005-202X.2018.02.014]
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 多层螺旋CT灌注参数评价肝癌经动脉化疗栓塞术后疗效()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第2期
页码:
191-194
栏目:
医学影像物理
出版日期:
2018-02-08

文章信息/Info

Title:
 Application of multi-slice spiral CT perfusion parameters in the evaluation of curative effect of TACE for hepatocellular carcinoma
文章编号:
1005-202X（2018）02-0191-04
作者:
 裴宇
 松滋市人民医院CT室， 湖北 松滋 434200
Author(s):
 PEI Yu
 CT Room, Songzi People’s Hospital, Songzi 434200, China
关键词:
 ; 肝癌; 经动脉化疗栓塞术; 多层螺旋CT; 灌注参数; 碘油沉积
Keywords:
 ; hepatocellular carcinoma;  transcatheter arterial chemoembolization;  multi-slice spiral computed tomography;  perfusion parameters;  lipiodol deposition
分类号:
R735.7
DOI:
DOI:10.3969/j.issn.1005-202X.2018.02.014
文献标志码:
A
摘要:
 探讨多层螺旋CT（MSCT）灌注参数在肝癌行经动脉化疗栓塞术（TACE）后疗效评价中的应用。 方法：选择松滋市人民医院2015年1月至2016年12月期间收治的肝癌患者94例。所有患者均采用Seldinger股动脉穿刺置管，行数字减影血管造影和TACE治疗，且术前和术后进行MSCT检查。 结果：MSCT扫描碘油沉积情况肿块型I型少于结节型（18/54 vs 28/40），II型多于结节型（30/54 vs 10/40），均有统计学差异（P<0.05）；III型和IV型比较无统计学差异（P>0.05）；肿块型和结节型患者治疗总有效率分别为90.74%（49/54）和92.50%（37/40）。 结论：MSCT灌注参数可用于肝癌行TACE术后疗效评价，具有较好的临床应用价值。
Abstract:
 Objective To investigate the application of multi-slice spiral computed tomography (MSCT) perfusion parameters in evaluating the therapeutic effect of transcatheter arterial chemoembolization (TACE) in patients with hepatocellular carcinoma (HCC). Methods Ninety-four patients with HCC admitted to Songzi People’s hospital from January 2015 to December 2016 were selected. All patients were treated with Seldinger femoral artery catheterization, underwent digital subtraction angiography and TACE, and received MSCT in the preoperative and postoperative examinations. Results The lipiodol deposition in MSCT scan revealed that for type I, the number of mass type was less than that of nodular type (18/54 vs 28/40, P<0.05), while for type II, the number of mass type was more than that of nodular type (30/54 vs 10/40, P<0.05). No statistical differences were found in type III and type IV (P>0.05). The total effective rates of mass and nodular HCC were 90.74% (49/54) and 92.50% (37/40), respectively. Conclusion MSCT perfusion parameters can be used to evaluate the efficacy of TACE in patients with HCC, with good application value in clinic.

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备注/Memo

备注/Memo:
 【收稿日期】2017-07-15
【作者简介】裴宇，主治医师，主要研究腹部影像诊断及介入，E-mail: 1207856809@qq.com
更新日期/Last Update: 2018-01-29