[1]孙勤学,董海波,张贵军,等.C臂CT在肝癌介入治疗中的应用[J].介入放射学杂志,2010,(12):988-991.
 SUN Qin-xue,DONG Hai-bo,ZHANG Gui-jun,et al.Evaluation of C-arm CT scanning in performing interventional treatment of hepatic malignancies[J].journal interventional radiology,2010,(12):988-991.
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C臂CT在肝癌介入治疗中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年12期
页码:
988-991
栏目:
临床研究
出版日期:
2010-12-25

文章信息/Info

Title:
Evaluation of C-arm CT scanning in performing interventional treatment of hepatic malignancies
作者:
孙勤学董海波张贵军龚夏珍彭志毅
315041  浙江省宁波市医疗中心宁波市李惠利医院放射科;浙江大学附属第一医院放射科
Author(s):
SUN Qin-xue DONG Hai-bo ZHANG Gui-jun GONG Xia-zhen PENG Zhi-yi.
Department of Radiology, Ningbo Medical Center, Lihuili Hospital, Ningbo 315041, China
关键词:
C臂CT 肝恶性肿瘤 介入治疗 三维重建
分类号:
R737
文献标志码:
摘要:
目的初步评价C臂CT在肝癌肝动脉介入治疗中的应用。方法60例肝癌患者(原发性肝癌43例,转移性肝癌17例)行230例次介入治疗,其中行C臂CT扫描91例次,记录所有手术时间。依据与常规DSA造影比较,能否提供额外信息,将C臂CT对于介入手术的帮助程度分为3级:1级,未能提供额外信息;2级,提供额外信息,但对介入治疗过程无影响;3级:提供有助于治疗的信息。使用t检验检测使用和不使用C臂CT功能的介入手术时间有无统计学意义。结果行C臂CT扫描91例次(40%),其中40(40/91,43.9%)例次达到2级、23(25.3%)例次达到3级。使用C臂CT扫描后平均手术时间增加了18.5min(P<0.05)。结论C臂CT优化了肝癌介入治疗工作流程,获得了清晰的软组织(CT样)断层图像,在肝癌介入治疗术前显示肿瘤实质及供血血管、术后即时监测碘油沉积方面具有较高的价值,在肝癌的介入治疗特别是肝癌化疗栓塞中能够起到较好的指导作用。该法增加了部分手术时间,但完全可以接受。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:20100802
宁波市科技局立项课题资助(项目编号:2009C50021)
更新日期/Last Update: 2010-12-25