[1]方良毅,陈晓明,金浩生,等.多层螺旋CT多平面重建技术在肝癌射频消融术中的应用[J].介入放射学杂志,2016,(05):425-430.
 FANG Liang- yi,CHEN Xiao- ming,JIN Hao- sheng,et al.Application of multiplanar reconstruction technique of multi- slice spiral CT scan in the radiofrequency ablation of hepatocellular carcinoma[J].journal interventional radiology,2016,(05):425-430.
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多层螺旋CT多平面重建技术在肝癌射频消融术中的应用 ()

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

卷:
期数:
2016年05期
页码:
425-430
栏目:
临床研究
出版日期:
2016-05-25

文章信息/Info

Title:
Application of multiplanar reconstruction technique of multi- slice spiral CT scan in the radiofrequency ablation of hepatocellular carcinoma
作者:
方良毅 陈晓明 金浩生 潘 燚 黄敏敏
Author(s):
FANG Liang- yi CHEN Xiao- ming JIN Hao- sheng PAN Yi HUANG Min-min
Department of Radiotherapy, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China
关键词:
【关键词】 肝肿瘤 多层螺旋CT 多平面重组 射频消融 并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨多层螺旋CT多平面重建(MPR)技术在射频消融(RFA)治疗晚期肝癌中的应用。方法 114例晚期肝癌患者行RFA治疗,常规轴位扫描引导组(简称非MPR组)83例,MPR组31例。对两组调整进针方向的次数、穿刺角度和深度差、术前术后CT均值差、操作总时间、术后并发症发生率、平均剂量?长度积(DLP)及瘤体毁损率进行统计学分析。结果 穿刺成功时MPR组进针次数较非MPR组少1.42次(P<0.001)。两组穿刺角度和深度误差分别是0.33°和0.23 mm(P>0.05)。术前术后两组CT均值差为0.36 Hu(P>0.05)。MPR组较非MPR组操作时间平均缩短8 min(P=0.001)。MPR组仅5例(16.1%)出现并发症,而非MPR组有33例(39.8%)出现并发症(P<0.05)。RFA治疗成功后MPR组的平均DLP较非MPR组少131.75 mGy?cm(P<0.001)。术后复查1、3个月的三期CT/MRI,两组患者的瘤体毁损情况均无明显统计学意义(P>0.05)。结论 多层螺旋CT MPR技术更清晰显示射频针与病变及其周围解剖结构的位置关系,减少了进针次数,缩短了操作时间,降低了并发症发生率与辐射剂量,提高了手术效率,因此对RFA治疗肝癌具有重要指导价值。

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备注/Memo

备注/Memo:
(收稿日期:2015-04-27)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-05-16