中国超声医学杂志
中國超聲醫學雜誌
중국초성의학잡지
CHINESE JOURNAL OF ULTRASOUND IN MEDICINE
2010年
3期
251-253
,共3页
薛念余%黄品同%张海平%郑志强
薛唸餘%黃品同%張海平%鄭誌彊
설념여%황품동%장해평%정지강
超声检查%微气泡%胃肿瘤%肝转移
超聲檢查%微氣泡%胃腫瘤%肝轉移
초성검사%미기포%위종류%간전이
Ultrasonography%Microbubbles%Stomach neoplasms%Liver metastasis.
目的 探讨口服胃窗超声造影联合静脉超声造影(超声双重造影)在评价胃癌肝转移中的价值.方法 141例经胃镜活检确诊胃癌患者行超声双重造影检查,所有病例按有无肝转移分为转移组(M1:22例)与非转移组(M0:119例),将两组间胃癌组织超声双重造影定量分析结果进行比较,分析各项参数与胃癌肝转移之间的关系.结果 通过自动追踪对比定量分析(autotracking contrast quantification,ACQ),M1组与M0组相比到达时间(arrival time,AT)及达峰时间(time to peak,TTP)较快,AT及TTP差异无统计学意义(P>0.05),M1组峰值强度(peak intensity,PI)显著高于M0组[(25.61±3.33) dB 对(21.51±4.14) dB,t＝5.106,P＝0.000],增强强度(enhanced intensity,EI)显著高于M0组[(24.80±3.58) dB 对(19.26±5.65) dB,t＝6.107,P＝0.000],PI及EI显示差异有统计学意义(P<0.05).结论 超声双重造影定量分析可以作为预测胃癌肝转移的方法之一.
目的 探討口服胃窗超聲造影聯閤靜脈超聲造影(超聲雙重造影)在評價胃癌肝轉移中的價值.方法 141例經胃鏡活檢確診胃癌患者行超聲雙重造影檢查,所有病例按有無肝轉移分為轉移組(M1:22例)與非轉移組(M0:119例),將兩組間胃癌組織超聲雙重造影定量分析結果進行比較,分析各項參數與胃癌肝轉移之間的關繫.結果 通過自動追蹤對比定量分析(autotracking contrast quantification,ACQ),M1組與M0組相比到達時間(arrival time,AT)及達峰時間(time to peak,TTP)較快,AT及TTP差異無統計學意義(P>0.05),M1組峰值彊度(peak intensity,PI)顯著高于M0組[(25.61±3.33) dB 對(21.51±4.14) dB,t＝5.106,P＝0.000],增彊彊度(enhanced intensity,EI)顯著高于M0組[(24.80±3.58) dB 對(19.26±5.65) dB,t＝6.107,P＝0.000],PI及EI顯示差異有統計學意義(P<0.05).結論 超聲雙重造影定量分析可以作為預測胃癌肝轉移的方法之一.
목적 탐토구복위창초성조영연합정맥초성조영(초성쌍중조영)재평개위암간전이중적개치.방법 141례경위경활검학진위암환자행초성쌍중조영검사,소유병례안유무간전이분위전이조(M1:22례)여비전이조(M0:119례),장량조간위암조직초성쌍중조영정량분석결과진행비교,분석각항삼수여위암간전이지간적관계.결과 통과자동추종대비정량분석(autotracking contrast quantification,ACQ),M1조여M0조상비도체시간(arrival time,AT)급체봉시간(time to peak,TTP)교쾌,AT급TTP차이무통계학의의(P>0.05),M1조봉치강도(peak intensity,PI)현저고우M0조[(25.61±3.33) dB 대(21.51±4.14) dB,t＝5.106,P＝0.000],증강강도(enhanced intensity,EI)현저고우M0조[(24.80±3.58) dB 대(19.26±5.65) dB,t＝6.107,P＝0.000],PI급EI현시차이유통계학의의(P<0.05).결론 초성쌍중조영정량분석가이작위예측위암간전이적방법지일.
Objective To investigate the value of oral and intravenous contrast-enhanced ultrasonography (i.e.double contrast-enhanced ultrasonography,DCUS) as a new method to evaluate the gastric cancer in patients with liver metastasis using DCUS.Methods One hundred and forty one patients with gastric cancer proved by endoscopic biopsy underwent DCUS examination and were enrolled in this study,and they were divided into metastatic group(M1:22 cases) and non-metastatic group(M1:119 cases) according to whether with the liver metastasis or not.The DCUS quantitative analysis results of these two groups were compared with each other.Results There was no significant difference in arrival time(AT) and time to peak(TTP) between M1 and M0 group(P>0.05).The peak intensity(PI) and enhanced intensity(EI) of the gastric cancer tissues in M1 group was higher than that in M0 group significantly [PI:(25.61±3.33) dB vs.(21.51±4.14) dB,t＝5.106,P＝0.000;EI:(24.80±3.58) dB vs.(19.26±5.65) dB,t＝6.107,P＝0.000]analyzed by using autotracking contrast quantification (ACQ) software.Conclusions DCUS with quantitative analysis could be considered as a new method to predict liver metastasis in patients with gastric cancer.
