Chen Li-yu, Jiang Tian-an, Qian Chao-wen, Chen Jun-yin, Yang Chen, Shi Kai-yuan
Department of Ultrasound, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Nov;30(11):2469-71.
To explore the value of ultrasono-portography using SonoVue in selective portal vein embolization (SPVE).
Twenty-eight patients with malignant liver tumors underwent percutaneous ultrasound-guided SPVE. The procedure was performed under color Doppler ultrasound guidance in 11 cases (conventional group) and under guidance with ultrasono-portography using SonoVue in 17 cases (contrast group). Contrast-enhanced CT was performed 2-4 weeks after SPVE to evaluate the effect of embolization.
The procedure of SPVE was aborted in 3 cases in which ultrasono-portography showed contraindications. Postoperative contrast-enhanced CT showed ectopic embolization in 2 cases in the conventional group, and none of the cases in the contrast group showed ectopic embolization.
Ultrasono-portography using SonoVue can provide important assistance for SPVE.
探讨使用声诺维进行超声门静脉造影在选择性门静脉栓塞术(SPVE)中的价值。
28例肝恶性肿瘤患者接受经皮超声引导下的SPVE。11例在彩色多普勒超声引导下进行该操作(传统组),17例在使用声诺维进行超声门静脉造影引导下进行(造影剂组)。SPVE术后2 - 4周进行增强CT检查以评估栓塞效果。
3例超声门静脉造影显示有禁忌证的患者中止了SPVE操作。术后增强CT显示传统组有2例发生异位栓塞,造影剂组无一例发生异位栓塞。
使用声诺维进行超声门静脉造影可为SPVE提供重要辅助。