氩氦刀冷冻治疗恶性肿瘤的影像学观察

史秋生;杜联芳;赵勇洁;陈 梅;陈 晔;李杏梅;孙聚葆

中国临床医学影像杂志 ›› 2008, Vol. 19 ›› Issue (1) : 38-42.

中国临床医学影像杂志 ›› 2008, Vol. 19 ›› Issue (1) : 38-42.
论著

氩氦刀冷冻治疗恶性肿瘤的影像学观察

  • 史秋生1,杜联芳1,赵勇洁2,陈 梅2,陈 晔2,李杏梅2,孙聚葆2
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Imaging of malignant tumor treated by Argon-Helium cryoablation

  • SHI Qiu-sheng1, DU Lian-fang1, ZHAO Yong-jie2, CHEN Mei2, CHEN Ye2, LI Xing-mei2, SUN Ju-bao2
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摘要

目的:探讨经皮氩氦刀冷冻治疗全身实体恶性肿瘤的影像学价值。方法:超声和CT引导下经皮氩氦刀冷冻治疗恶性肿瘤45例49个病灶,监测冰球形成及其大小、覆盖率和影像学表现、病灶缩小率。肿瘤分≤3cm和>3cm两组,χ2检验,Spearman分析。结果:87.5%的冰球在冷冻开始后50s内形成,大小随时间延长径线增大。≤3cm和>3cm两组中,术中冰球覆盖率≥80%和<80%者分别为72.7%,27.3%和26.3%,73.7%,两组比较P<0.05。冰球的声像图表现为弧形强回声带伴声影,冷冻区为不均匀的高回声,CT表现为冷冻区呈类圆形低密度区。术后3月,≤3cm和>3cm两组中,病灶缩小率≥50%的分别占81.8%和30.6%,两组相比P<0.01。结论:经皮氩氦刀冷冻治疗恶性肿瘤,影像学定位准确,操作方便、安全、可靠,图像改变明显,疗效确切,能及时发现并发症,可应用于全身多部位肿瘤的治疗。

Abstract

Objective: To observe the imaging demonstrations of the parenchymal malignancy treated percutaneously with Argon-Helium cryoablation under the guidance of ultrasonography and CT imaging. Methods: Forty-nine foci in 45 patients with malignancy were treated percutaneously with Argon-Helium cryoablation under the guidance of ultrasonography and CT imaging. The size and coverage of ice-balls formed were monitored. The imaging changes were observed. The shrinkage of tumor was followed 3 months post-cryoablation. The foci were divided into two groups in size: less than or equal to 3cm and more than 3cm. The chi-square test and Spearman analysis were used by SPSS 11.0 software. Results: The ice-balls were formed within 50 seconds after cryoablation in 87.5% foci. And it increased in size as the time being. The coverage of the ice-ball more than or equal to and less than 80% were 72.7%, 27.3% and 26.3%, 73.7% in the groups of less than or equal to 3cm and more than 3cm, respectively. The P value is less than 0.05. The ice-ball was demonstrated as arc hyperechogenicity with shadow on ultrasonography. The cryoablated area showed inhomogeneous hyperechogenicity on sonography and round-like hypoattenuated hypoechogenicity on CT imaging. The shrinkage more than 80% of the foci were 81.8% and 30.6% in the groups of less than or equal to and more than 3cm three months after the cryoabalation. The P value is less than 0.01. Conclusions: Imaging is a useful way for the guidance of Argon-Helium cryoabalation. They are accurate, safe and convenient ways for the treatment. The changes of the ice-ball were obviously showed on the ultrasonography and CT imaging. The complications can be found during the procedure in time. It can also be used in the management of the malignancy in many parts of the body.

关键词

肿瘤 / 低温 / 人工 / 治疗学

Key words

Neoplasms / Hypothermia / induced / Therapeutics

引用本文

导出引用
史秋生;杜联芳;赵勇洁;陈 梅;陈 晔;李杏梅;孙聚葆. 氩氦刀冷冻治疗恶性肿瘤的影像学观察[J]. 中国临床医学影像杂志. 2008, 19(1): 38-42
SHI Qiu-sheng;DU Lian-fang;ZHAO Yong-jie;CHEN Mei;CHEN Ye;LI Xing-mei;SUN Ju-bao. Imaging of malignant tumor treated by Argon-Helium cryoablation[J]. Journal of China Clinic Medical Imaging. 2008, 19(1): 38-42
中图分类号: R730.55   

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