摘要
目的探讨多层螺旋电子计算机断层扫描(MSCT)多平面重建(MPR)技术在晚期肝癌微波消融治疗中的应用效果。方法回顾性分析我院2013年1月至2014年6月期间收治的96例接受微波消融治疗的肝癌患者的临床病历资料,根据是否进行MRP,分为非MRP组65例、MPR组31例,比较两组穿刺结果、瘤体损毁率及并发症发生率。结果共96例肝癌患者接受3个月的随访,非MRP组失访2例,MRP组无失访,总随访率为97.92%(94/96),随访期间无死亡病例。MRP组肝癌患者射频消融穿刺次数、穿刺时间分别为(3.51±0.85)次和(33.62±6.01)min,均显著低于非MRP组(P<0.05)。两组穿刺角度差、穿刺深度差、穿刺前后靶区CT值和住院时间比较未见显著差异(P>0.05)。MRP组肝癌患者射频消融后综合症发生率为9.68%(3/31),显著低于非MRP组(P<0.05)。结论MPR技术应用于晚期肝癌微波消融治疗可有效减少进针次数与操作时间,显著降低消融后综合症发生率,具有一定的临床指导价值。
Objective To explore the application effect of multi-slice spiral computed tomography(MSCT)multiplanar reconstruction(MPR)in microwave ablation for advanced liver cancer.Methods The clinical case data of 96 patients with liver cancer who underwent microwave ablation and were admitted to the hospital between January 2013 and June 2014 were retrospectively analyzed.According to presence or absence of MPR,they were divided into non-MPR group(65 cases)and MPR group(31 cases).The puncture results,tumor damage rate and incidence of complications were compared between the two groups.Results All the 96 patients with liver cancer were followed up for 3 months.There were 2 cases lost to follow-up in non-MPR group and none in MRP group,with total follow-up rate of 97.92%(94/96).There was no any death case during follow-up.The times and time of radiofrequency ablation puncture in MPR group were(3.51±0.85)times and(33.62±6.01)min,significantly lower than those in non-MPR group(P<0.05).There were no significant differences between the two groups in puncture angle difference,puncture depth difference,target volume CT value before and after punctureand hospitalization time(P>0.05).The incidence of syndrome after radiofrequency ablation in MPR group was 9.68%(3/31),significantly lower than that in non-MPR group(P<0.05).Conclusion The application of MPR in the microwave ablation treatment of advanced liver cancer can effectively reduce times of puncture and operation time,significantly decrease the incidence of post-ablation syndrome,which is of certain clinical guidance value.
作者
盛晶
刘越
陶海云
屈中玉
刘扬帆
孙星
吴艳林
SHENG Jing;LIU Yue;TAO Hai-yun;QU Zhong-yu;LIU Yang-fan;SUN Xing;WU Yan-lin(Department of Oncology,Nanyang Central Hospital,Nanyang 473000,Henan Province,China)
出处
《中国CT和MRI杂志》
2021年第1期126-128,共3页
Chinese Journal of CT and MRI
关键词
肝癌
多层螺旋电子计算机断层扫描
多平面重建
微波消融
Liver Cancer
Multi-Slice Spiral Computed Tomography
Multi-Planar Reconstruction
Microwave ablation
