中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
CHINESE JOURNAL OF CT AND MRI
2015年
5期
77-79,106
,共4页
经导管动脉化疗栓塞术%计算%机断层成像%肝癌%残存病灶
經導管動脈化療栓塞術%計算%機斷層成像%肝癌%殘存病竈
경도관동맥화료전새술%계산%궤단층성상%간암%잔존병조
Transcatheter Arterial Chemoembolization(TACE)%Computed Tomography%Liver Cancer%Residual Lesions
目的：探讨CT对肝癌TACE术后疗效以及残灶活性的评估作用，为今后临床实践提供参考和借鉴，以提高对肝癌TACE术后疗效方面的诊断水平。方法选择我院收治的68例经临床确诊并行经导管动脉栓塞术治疗的肝癌患者为研究对象，行肝癌TACE治疗后1-3月对其进行CT、DSA复查，探讨CT对肝癌TACE术后疗效以及残灶活性的诊断价值。结果 CT检查结果与DSA检查结果相比，p＞0.05，差异没有统计学意义；CT诊断敏感性、特异性、准确率与DSA检查相比，p＞0.05，差异没有统计学意义。结论 CT对评估肝癌TACE术后疗效方面及残灶活性方面具有重要价值，其影像具有一定的特征性，对TACE治疗后肿瘤残存的检测敏感性、准备率比较高，能够为预测治疗效果及判断生存预后等方面提供较多的信息，为患者的后续治疗提供依据，具有较高的临床使用价值。
目的：探討CT對肝癌TACE術後療效以及殘竈活性的評估作用，為今後臨床實踐提供參攷和藉鑒，以提高對肝癌TACE術後療效方麵的診斷水平。方法選擇我院收治的68例經臨床確診併行經導管動脈栓塞術治療的肝癌患者為研究對象，行肝癌TACE治療後1-3月對其進行CT、DSA複查，探討CT對肝癌TACE術後療效以及殘竈活性的診斷價值。結果 CT檢查結果與DSA檢查結果相比，p＞0.05，差異沒有統計學意義；CT診斷敏感性、特異性、準確率與DSA檢查相比，p＞0.05，差異沒有統計學意義。結論 CT對評估肝癌TACE術後療效方麵及殘竈活性方麵具有重要價值，其影像具有一定的特徵性，對TACE治療後腫瘤殘存的檢測敏感性、準備率比較高，能夠為預測治療效果及判斷生存預後等方麵提供較多的信息，為患者的後續治療提供依據，具有較高的臨床使用價值。
목적：탐토CT대간암TACE술후료효이급잔조활성적평고작용，위금후림상실천제공삼고화차감，이제고대간암TACE술후료효방면적진단수평。방법선택아원수치적68례경림상학진병행경도관동맥전새술치료적간암환자위연구대상，행간암TACE치료후1-3월대기진행CT、DSA복사，탐토CT대간암TACE술후료효이급잔조활성적진단개치。결과 CT검사결과여DSA검사결과상비，p＞0.05，차이몰유통계학의의；CT진단민감성、특이성、준학솔여DSA검사상비，p＞0.05，차이몰유통계학의의。결론 CT대평고간암TACE술후료효방면급잔조활성방면구유중요개치，기영상구유일정적특정성，대TACE치료후종류잔존적검측민감성、준비솔비교고，능구위예측치료효과급판단생존예후등방면제공교다적신식，위환자적후속치료제공의거，구유교고적림상사용개치。
Objective to investigate the evaluation effect on postoperative efficacy of Computed Tomography (CT) after liver cancer TACE surgery and its diagnositic value on the activity of residual lesions, and to provide the reference for clinical practice in the future in order to improve the diagnositic level of postoperative efficacy after liver cancer TACE surgeries.Methods 68 liver cancer patients undergone transcatheter arterial chemoembolization (TACE) were selected as the research object, and they were given the CT examination in 1 to 3 months after surgery, and finally the effect on postoperative efficacy of CT after liver cancer TACE surgery and its diagnositic value on the activity of residual lesions were explored.Results The comparison between examination results of CT and that of DSA was analyzed, the difference was not statistically significant(p>0.05). The differences in diagnostic sensitivity, specificity and accuracy of CTand that of DSA examination were not statistically significant(p>0.05).Conclusions CT has important diagnositic value on the evaluation of postoperative efficacy of liver cancer and the activity of residual lesions. The images are of certain characteristics, the detection sensitivity and preparation rate are considerable on tumor residues after the treatment of TACE, and it is able to provide more information for predicting the treatment efficacy and judging prognosis of survival and to provide the basis of subsequent treatment of patients.
