颜色标记量化数字减影血管造影(CCQ-DSA)在肝癌微血管评价中的应用研究
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摘要
目的:评价颜色标记量化-数字减影血管造影(CCQ-DSA)在肝癌微血管中的临床意义。方法:选取在医院治疗的40例肝细胞型肝癌患者,采取随机数表法将其分为观察组和对照组,每组20例;观察组采用CCQ-DSA观察肝癌微血管,对照组采用数字减影血管造影(DSA)成像显示;比较两组患者在肝癌新生血管显示评价中的应用效果。结果:两组患者肝癌的侧枝循环血管和小病灶侧枝循环显示情况比较,差异均有统计学意义(x~2=5.584,x~2=18.142;P<0.05);两组在造影判断肝癌微血管类型中的比较,差异有统计学意义(x~2=10.039,P<0.05)。结论:CCQ-DSA对肝癌微血管的诊断效果优于DSA成像,具有显著的图像细节显示优势。
Objective: To evaluate the clinical value of color coded quantitative-digital subtraction angiography(CCQ-DSA) in microvascular of liver carcinoma. Methods: 40 patients with hepatocellular carcinoma(HCC) who received treatment in hospital were selected in this research and they were divided into observation group(20 cases) and control group(20 cases). The CCQ-DSA was applied in observation group to observe microvascular of liver carcinoma and DSA imaging was applied in control group. And the applied effects of two groups in the display evaluation of new vessels of liver carcinoma were compared. Results: The differences of collateral circulation vessel and collateral circulation of small lesion of liver carcinoma between the two groups were significant(x~2=5.584, x~2=18.142, P<0.05), respectively. And the difference of capillary type of liver carcinoma by diagnosis of angiography was significant(x~2=10.039, P<0.05). Conclusion: The diagnostic effect of CCQ-DSA for microvascular of liver carcinoma is better than that of DSA imaging, and it has significant advantage of display on image detail.
Objective: To evaluate the clinical value of color coded quantitative-digital subtraction angiography(CCQ-DSA) in microvascular of liver carcinoma. Methods: 40 patients with hepatocellular carcinoma(HCC) who received treatment in hospital were selected in this research and they were divided into observation group(20 cases) and control group(20 cases). The CCQ-DSA was applied in observation group to observe microvascular of liver carcinoma and DSA imaging was applied in control group. And the applied effects of two groups in the display evaluation of new vessels of liver carcinoma were compared. Results: The differences of collateral circulation vessel and collateral circulation of small lesion of liver carcinoma between the two groups were significant(x~2=5.584, x~2=18.142, P<0.05), respectively. And the difference of capillary type of liver carcinoma by diagnosis of angiography was significant(x~2=10.039, P<0.05). Conclusion: The diagnostic effect of CCQ-DSA for microvascular of liver carcinoma is better than that of DSA imaging, and it has significant advantage of display on image detail.
引文
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[16]SIMANT Mehta,邓刚.磁共振血管造影与数字减影血管造影在脑血管狭窄闭塞性疾病诊断中的比较研究(英文)[J].东南大学学报(医学版),2013,27(6):655-662.
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[2]林拥华,章宝燕,李新丰,等.肝癌介入治疗中旋转数字减影血管造影三维重建技术的应用价值[J].中国医学物理学杂志,2015,32(6):851-854.
[3]柏骇,曲乐丰,职康康,等.“解剖固定”概念在腹主动脉瘤腔内修复术患者中的临床应用[J].中华医学杂志,2014,94(1):6-9.
[4]Lin CJ,Chang FC,Tsai FY,et al.Stenotic transverse sinus predisposes to post stenting hyperperfusion syndrome as evidenced by quantitative analysis of peritherapeutic cerebral circulation time[J].AJNR Am J Neuroradiol,2014,35(6):1132-1136.
[5]中国抗癌协会肝癌专业委员会.原发性肝癌诊断标准[J].中华肝脏病杂志,2000,8(3):135-135.
[6]蔡美花,郭建榕,陈小风.DSA技术在肝癌合并肝动脉-门静脉瘘介入治疗中的应用研究[J].微创医学,2016,12(5):616-640.
[7]Lin CJ,Chang FC,Guo WY,et al.Changes of time-attenuation curve blood flow parameters in patients with and without carotid stenosis[J].AJNR Am J Neuroradiol,2015,36(6),1176-1181.
[8]姚斯元,郭建平,范伊乐,等.3D-CTA与3D-DSA诊断颅内动脉瘤的临床对照研究[J].实用医药杂志,2016,33(5):404-406.
[9]何锡华,郑晓琳,张旭升,等.头颈部CTA在诊断脑血管性病变的价值及影像学方法的比较[J].中国医药科学,2015,5(13):172-175.
[10]吴孟超,汤钊猷,刘彤华,等.原发性肝癌规范化病理诊断指南(2015年版)[J].临床肝胆病杂志,2015,31(6):833-839.
[11]许飞,周纯武.化疗栓塞治疗原发性肝癌合并肝动静脉瘘的临床研究[J].放射学实践,2017,32(5):529-532.
[12]曾嵘.颜色标记量化数字减影血管造影在动脉疾病的临床应用研究[D].北京:北京协和医学院,2016:1-87.
[13]陈燕浩,李家平,谭国胜,等.原发性肝细胞癌合并不同类型动静脉瘘的DSA表现与介入治疗[J].实用医学杂志,2012,28(17):2870-2872.
[14]马骏.二维和三维数字减影血管造影在脑动脉瘤的临床应用研究[D].乌鲁木齐:新疆医科大学,2005.
[15]谢名洋,杜端明.数字减影血管造影在脑血管病临床诊断中的应用研究进展[J].医学综述,2015,21(5):868-870.
[16]SIMANT Mehta,邓刚.磁共振血管造影与数字减影血管造影在脑血管狭窄闭塞性疾病诊断中的比较研究(英文)[J].东南大学学报(医学版),2013,27(6):655-662.
[17]林本,刘国光.彩色多普勒超声和数字减影血管造影检测颅外颈动脉狭窄的临床对比研究[J].岭南心血管病杂志,2014,20(4):508-511.