CAJ | 학술논문

目的：探讨超声造影在判断脑胶质瘤手术肿瘤残留中的应用价值。方法31例胶质瘤患者，于术中瘤体摘除前后行常规超声和超声造影检查，对照术前肿瘤回声及超声造影特点观察术后手术残腔以判断肿瘤残余情况。结果以病理结果为金标准，常规手术与超声造影引导下手术肿瘤全切除率分别为45．16％和74．19％（P＜0．05）。超声造影判断残余肿瘤的敏感性为85．71％，特异性为90．32％；常规超声判断残余肿瘤的敏感性为61．91％％，特异性为83．87％。超声造影判断肿瘤残留病理符合率与常规超声差异无统计学意义（P＜0．05）。结论超声造影在胶质瘤手术肿瘤残留判断中具有较好的临床辅助价值。
목적：탐토초성조영재판단뇌효질류수술종류잔류중적응용개치。방법31례효질류환자，우술중류체적제전후행상규초성화초성조영검사，대조술전종류회성급초성조영특점관찰술후수술잔강이판단종류잔여정황。결과이병리결과위금표준，상규수술여초성조영인도하수술종류전절제솔분별위45．16％화74．19％（P＜0．05）。초성조영판단잔여종류적민감성위85．71％，특이성위90．32％；상규초성판단잔여종류적민감성위61．91％％，특이성위83．87％。초성조영판단종류잔류병리부합솔여상규초성차이무통계학의의（P＜0．05）。결론초성조영재효질류수술종류잔류판단중구유교호적림상보조개치。
Objective To explore application value of contrast-enhanced ultrasonography in judging tumor residues after brain glioma operation. Methods Thirty-one patients with brain glioma were examined by conventional ultrasonography and contrast-enhanced ultrasonography before and after removal of tumor. Compared with preoperative tumor echo and imaging characteristics, tumor residual cavities after operation were observed to judge residual tumor. Results The tumor resection rates of routine operation and contrast-enhanced ultrasound guided operation were 45.16%and 74.19%, respectively, in which the latter was higher than the former (P<0.05) according to pathologic result. The sensitivity of judging residual tumor using contrast-enhanced ultrasonography was 85.71%and the specificity was 90.32%. However, the sensitivity of conventional ultrasonography was 61.91% and the specificity was 83.87%. There was significant difference in pathology coincidence rate of residual tumor between contrast-enhanced ultrasonography and conventional ultrasonography ( P<0 . 05 ) . Conclusion Contrast-enhanced ultrasonography has important clinical value in judging tumor residues after brain glioma operation.