The Clinical Observation of the Early Microcirculation of 28 Cases of Tanscatheter Arterial Chemoembolization Through Contrast-enhanced Ultrasound.

Autor: GUO Tao, XU Ying, LIU Gui-lan, LI ying-chun, WU Hua-mei, YANG Jin-hui
Předmět:
Zdroj: Journal of Kunming Medical University / Kunming Yike Daxue Xuebao; 2015, Vol. 36 Issue 3, p63-67, 5p
Abstrakt: Objective To observe the changes of microcirculation of primary hepatocellular carcinoma (HCC) after Tanscatheter Arterial chemoembolization (TACE) through contrast-enhanced ultrasound (CEUS), and evaluate the clinical value and efficacy of the interventional therapy. Methods 28 cases (32 lesions) who received TACE therapy were observed. CEU, computer tomography (CT), and digital subtraction (DSA) results within six months after operation were compared, meanwhile, the residual / recurrent cases, the recurrence time and reasons of the 32 lesions were analyzed. Results Among the 32 lesions, 15 were completely inactivated with no residual blood supply, 17 were residual / recurrent. CEUS detected 19 positive lesions, while CT detected 14. The sensitivity and diagnosis rates of CEU were 100%, 86.67%, while CT were 82.7%, 82.24%. Conclusion CEUS which can directly observe the microcirculation of carcinoma is more sensitive than CT, so it can be used as a reliable method for the assessment of early recurrence, furthermore, it may provide the basis for subsequent sequential therapy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index