[1]李 鑫,梁 萍,于晓玲,等.经皮微波消融肾细胞癌疗效的超声造影评价[J].介入放射学杂志,2014,(08):688-692.
　LI Xin,LIANG Ping,YU Xiao ling,et al.Percutaneous microwave ablation for renal cell carcinoma： evaluation of therapeutic effect with contrast enhanced ultrasound[J].journal interventional radiology,2014,(08):688-692.
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经皮微波消融肾细胞癌疗效的超声造影评价 ()

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

卷:
期数:
2014年08期
页码:
688-692
栏目:
非血管介入
出版日期:
2014-08-25

文章信息/Info

Title:
Percutaneous microwave ablation for renal cell carcinoma： evaluation of therapeutic effect with contrast enhanced ultrasound
作者:
 李 鑫;  梁 萍;  于晓玲;  于 杰;  程志刚;  韩志宇;  刘方义;  穆梦娟;  陈超男
Author(s):
LI Xin;  LIANG Ping;  YU Xiao ling;  YU Jie;  CHENG Zhi gang;  HAN Zhi yu;  LIU Fang yi;  MU Meng juan;  CHEN Chao nan.
Department of Interventional Ultrasound， General Hospital of PLA， Beijing 100853， China
关键词:
【关键词】 超声造影;  微波消融;  肾细胞癌
文献标志码:
A
摘要:
【摘要】 目的 探讨低机械指数灰阶超声造影（CEUS）评估经皮微波消融肾细胞癌临床疗效的可行性与准确性。方法 2006年3月—2013年7月，105例肾细胞癌患者109个病灶，平均直径（3.1 ± 1.3）cm行超声引导下经皮微波消融治疗。消融后3 ｄ，CEUS对消融区检查结果与同期增强CT/MRI及穿刺活检病理结果进行比较，对近期消融疗效进行评估；随后 1、3和6个月及之后每6个月进行CEUS和CT/ MRI检查，对远期消融疗效进行评估。结果 微波消融后3 d，CEUS检查显示94个（94/109，86.2％）病灶呈完全消融状态，15个（15/109，13.8％）病灶有残癌。其中，13个（13/15，86.7％）残癌病灶由同期增强CT/MRI检查或活检病理证实。CEUS对微波消融肾癌近期疗效评价的灵敏度、特异度、准确性、阳性预测值和阴性预测值分别为100％、97.9％、98.2％、86.7％和100％。在3 ~ 90个月（中位24.6个月）的随访期内，CEUS检查显示有7例复发（1例肾实质内、2例外凸靠近肠道及4例内凸靠近肾盂），其中6例与同期CT/MRI检查相一致，CEUS对消融区的远期疗效评价的灵敏度、特异度、准确性、阳性预测值和阴性预测值分别为85.7％、99.0％、98.2％、85.7％和99.0％。结论 实时灰阶CEUS在评估经皮微波消融肾细胞癌疗效方面具有灵敏、准确、便捷的应用价值。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１3-1０-16）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2014-08-22