C臂CT在肝细胞癌TACE治疗中应用价值的评价
发布时间：2019-05-14 14:16
【摘要】：[目的]探讨C臂CT在肝细胞癌TACE治疗中的应用价值。 [方法]80例肝细胞癌患者于2012年9月至2013年3月在我院接受TACE治疗时行C臂CT扫描。评阅C臂CT平扫、动脉早期、动脉实质期图像及其后处理图像,观察TACE治疗前病灶数量、供血动脉情况以及治疗后病灶存活肿瘤、碘油沉积、供血动脉栓塞等情况,记录患者检查、治疗全程皮肤所受X线辐射剂量,并与未行C臂CT扫描治疗组的辐射剂量比较。 [结果]80例患者C臂CT扫描检出病灶139个,其中4例患者较64排螺旋CT扫描共多检出5个病灶,2例患者较常规DSA检查共多检出2个病灶。TACE治疗前,77例患者C臂CT扫描显示131个病灶供血动脉清晰满意,其中28例(36.36%)为使用微导管超选择插管治疗提供了直接的帮助；发现4例患者病灶异常供血动脉,1例患者病灶供血动脉异常走行显示清楚。TACE治疗后,75例患者的128个病灶(128/139,92.09%)C臂CT扫描即时评价疗效结果满意,其中存活肿瘤较少78个,存活肿瘤中等29个,存活肿瘤较多21个；碘油沉积致密64个,碘油沉积中等39个,碘油沉积稀疏25个；栓塞治疗后肿瘤血供明显减少101个,血供无明显减少27个。接受C臂CT扫描的研究组患者皮肤所受X线辐射剂量平均为393.18mGy,未接受C臂CT扫描的对照组患者所受辐射剂量平均为401.05mGy,两组辐射剂量平均值进行独立样本t检验,差异无统计学意义(t值=0.355,P=0.723)。 [结论]C臂CT扫描在肝细胞癌TACE过程中,有助于病灶的检出、供血动脉、异常供血动脉和动脉异常走行的显示,治疗后存活肿瘤、碘油沉积、肿瘤供血动脉栓塞情况的即时评价等,不增加患者所受X线辐射剂量,应用安全,前景广阔。
[Abstract]:Objective to evaluate the value of C-arm CT in the treatment of hepatocellular carcinoma (HCC) with TACE. [methods] from September 2012 to March 2013, 80 patients with hepatocellular carcinoma underwent C-arm CT scan when they were treated with TACE in our hospital. To evaluate the plain scan of C-arm CT, the images of early arterial solid phase, arterial solid phase and post-processing images, and to observe the number of lesions before TACE treatment, the condition of blood supply artery, the survival tumor, the deposition of iodized oil and the embolism of blood supply artery after treatment. The X-ray radiation dose of the whole skin was recorded and compared with that of the non-C-arm CT scanning group. [results] 139 lesions were detected by C-arm CT in 80 patients, 5 more lesions were detected in 4 patients than 64-slice spiral CT scan, and 2 lesions were detected in 2 patients compared with conventional DSA. C-arm CT scan showed clear and satisfactory blood supply arteries in 77 patients, of which 28 (36.36%) provided direct help for the treatment of superselective catheterization with microcatheters. It was found that the abnormal blood supply artery was found in 4 patients, and the abnormal course of blood supply artery in 1 patient was clearly displayed. After treatment, 128 lesions (128 鈮，
本文编号：2476782
[Abstract]:Objective to evaluate the value of C-arm CT in the treatment of hepatocellular carcinoma (HCC) with TACE. [methods] from September 2012 to March 2013, 80 patients with hepatocellular carcinoma underwent C-arm CT scan when they were treated with TACE in our hospital. To evaluate the plain scan of C-arm CT, the images of early arterial solid phase, arterial solid phase and post-processing images, and to observe the number of lesions before TACE treatment, the condition of blood supply artery, the survival tumor, the deposition of iodized oil and the embolism of blood supply artery after treatment. The X-ray radiation dose of the whole skin was recorded and compared with that of the non-C-arm CT scanning group. [results] 139 lesions were detected by C-arm CT in 80 patients, 5 more lesions were detected in 4 patients than 64-slice spiral CT scan, and 2 lesions were detected in 2 patients compared with conventional DSA. C-arm CT scan showed clear and satisfactory blood supply arteries in 77 patients, of which 28 (36.36%) provided direct help for the treatment of superselective catheterization with microcatheters. It was found that the abnormal blood supply artery was found in 4 patients, and the abnormal course of blood supply artery in 1 patient was clearly displayed. After treatment, 128 lesions (128 鈮，
本文编号：2476782
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