The value of three-dimensional medical imaging guided ultrasound in the treatment of huge hepatic hemangioma
10.3877/cma.j.issn.1672-6448.2017.06.015
- VernacularTitle:三维医学影像技术辅助超声引导下穿刺注射平阳霉素治疗巨大肝血管瘤的应用价值
- Author:
Liping YANG
1
;
Qinying LI
;
Ping LIANG
;
Jianhua WANG
;
Yanjun SONG
;
Ning YU
;
Gaoang QI
;
Longjun WU
Author Information
1. 457000,河南省濮阳市中医医院超声介入科
- Keywords:
Huge hepatic hemangioma;
Three-dimensional visualization;
Ultrasonic guidance;
Pingyangmycin;
Preoperative treatment planning
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2017;14(6):472-476
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application value of three-dimensional medical image guided ultrasound in the chemotherapy of huge hepatic hemangioma.Methods Seventy-six cases were enrolled in a randomized control study.All cases were randomly divided into two groups (group A and group B).In group A,all cases underwent treatment based on the traditional two-dimensional medical images.Under the assistance of three-dimensional medical image information,preoperative treatment planning was performed in group B.After puncture treatment,therapeutic efficacy was evaluated by color ultrasound during follow-up.Results For treating huge hepatic hemangioma (tumor diameter ≥ 10.0 cm),the insertion number and pingyangmycin dosage in the group B were less than those in the group A [(6.2± 0.5)times vs (9.3±0.6) times,t=24.467,P=0.035;(99.2±8.0) mg vs (148.8±9.6) mg,t=34.613,P=0.029].The success rate of first treatment in the group B was higher than that in group A [73.6％(28/38) vs 100％(38/38),x2=131.91,P=0.032].Conclusion For huge hepatic hemangioma,the three-dimensional medical image information can be applied to reduce the insertion number and anesthetics dosage,improving the success rate of first treatment and therapeutic effect.
