本文關(guān)鍵詞：DynaCT在肝癌TACE術(shù)中的臨床應(yīng)用價(jià)值　出處：《濟(jì)南大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 2D-DSA造影 DynaCT 原發(fā)性肝癌 肝動(dòng)脈化療栓塞術(shù)

【摘要】：目的：通過(guò)對(duì)比分析單純行2D-DSA造影及2D-DSA造影聯(lián)合DynaCT造影的手術(shù)時(shí)間；對(duì)比分析2D DSA造影圖像與三維DynaCT造影圖像在TACE術(shù)中明確腫瘤病灶與腫瘤供血?jiǎng)用}關(guān)系；將二維X線的碘化油沉積圖像與平掃DynaCT中的碘化油沉積圖像進(jìn)行對(duì)比分析評(píng)價(jià)栓塞效果的差異性,從而來(lái)評(píng)價(jià)DynaCT在肝癌TACE術(shù)中的臨床應(yīng)用價(jià)值。方法：選取在2013年3月至2015年3月期間在山東省腫瘤醫(yī)院就診的原發(fā)性肝癌患者60名。隨機(jī)將60名患者分為2組。Ⅰ組(30名)行二維DSA造影及DynaCT造影,Ⅱ組(30名)單純行二維DSA造影。術(shù)后兩組均行平掃DynaCT檢查。將兩組的手術(shù)時(shí)間進(jìn)行對(duì)比分析,對(duì)Ⅰ組內(nèi)行二維DSA造影與DynaCT造影圖像進(jìn)行對(duì)比分析,對(duì)總?cè)虢M患者的二維X線的碘化油沉積圖像與平掃DynaCT中的碘化油沉積圖像進(jìn)行對(duì)比分析。結(jié)果：1.兩組的手術(shù)時(shí)間采用獨(dú)立樣本T檢驗(yàn),兩組的手術(shù)時(shí)間無(wú)明顯的差異性(t=3.37,p0.05),兩組手術(shù)時(shí)間相同。2.在Ⅰ組內(nèi),二維DSA造影總共發(fā)現(xiàn)69個(gè)腫瘤病灶,DynaCT造影共發(fā)現(xiàn)85個(gè)腫瘤病灶經(jīng)兩樣本均數(shù)配對(duì)資料對(duì)比檢驗(yàn)(P0.05),兩者具有顯著性差異。3.在Ⅰ組內(nèi)的30例患者中其中有8例在二維DSA造影條件下腫瘤供血血管顯示不清,行DynaCT造影后,其中有6例患者的供血血管得以清晰顯示。經(jīng)配對(duì)資料卡方檢驗(yàn),x2=4.6,P0.05,兩者具有顯著性差異。4.在69個(gè)腫瘤病灶中(二維造影所能看到的腫瘤病灶),平掃DynaCT圖像可見(jiàn)碘化油沉積均勻的腫瘤病灶40個(gè),碘化油沉積不理想的腫瘤病灶29個(gè)；而二維X線圖象可見(jiàn)碘化油沉積均勻的腫瘤病灶個(gè)60個(gè),碘化油沉積不理想的腫瘤病灶9個(gè)。經(jīng)配對(duì)資料卡方檢驗(yàn),P0.05,兩者具有顯著性差異。結(jié)論：DynaCT在肝癌肝動(dòng)脈化療栓塞術(shù)中對(duì)于二維DSA是一種重要的輔助工具。在不增加手術(shù)時(shí)間的前提下,與二維DSA相比,DynaCT不僅能提高肝內(nèi)腫瘤病灶的檢出率、明確各腫瘤之間的位置關(guān)系,而且還能更加明確腫瘤的供血情況及使腫瘤供血血管的走形顯示的更加清晰,提高插管的準(zhǔn)確性,減少血管損傷,也能在栓塞術(shù)后即刻評(píng)價(jià)肝內(nèi)腫瘤的栓塞效果。總而言之,DynaCT在肝癌肝動(dòng)脈化療栓塞術(shù)中有重要的臨床應(yīng)用價(jià)值。
[Abstract]:Objective: to compare the operative time between 2D-DSA and 2D-DSA combined with DynaCT. The relationship between tumor focus and tumor blood supply artery during TACE operation was compared and analyzed between 2D DSA angiography and 3D DynaCT angiography. The difference of embolization effect was evaluated by comparing the two dimensional X-ray lipiodol deposition images with those in plain scan DynaCT. To evaluate the clinical value of DynaCT in TACE operation of liver cancer. Methods:. From March 2013 to March 2015, 60 patients with primary liver cancer were selected from Shandong Cancer Hospital. 60 patients were randomly divided into two groups. Two dimensional DSA and DynaCT angiography were performed in 30 patients. Group 鈪，

本文編號(hào)：1430771