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比较微波和射频消融不同组织中的消融区和高回声区。

Comparison of the Ablation and Hyperechoic Zones in Different Tissues Using Microwave and Radio Frequency Ablation.

机构信息

Department of Ultrasound, Shengjing Hospital of China Medical University, 110004, Shenyang, China.

出版信息

J Ultrasound Med. 2019 Oct;38(10):2611-2619. doi: 10.1002/jum.14958. Epub 2019 Jan 30.

Abstract

OBJECTIVES

The aim of this study was to compare the differences between the ablation region and hyperechoic zones in microwave and radio frequency ablation of different tissues.

METHODS

Microwave and radio frequency ablation were performed on fresh porcine muscle and liver with different power levels for 90 seconds. These 2 ablation methods were then performed on rabbit liver in vivo using 20 W for 60 seconds. The volumes of the ablation and hyperechoic zones were compared following different ablation methods.

RESULTS

The ablation zones were significantly greater than the hyperechoic zones (P < .05) with the same power and duration when using 2 ablation methods. The differences of the ablation and hyperechoic zones between muscle and liver tissues were significantly different (P < .05). The difference values of the ablation and hyperechoic zones were also significantly different (P < .05) using 2 ablation methods.

CONCLUSIONS

The hyperechoic zone may have underestimated the extent of ablation using a specified ablation time. In the same tissue, the hyperechoic zone could more accurately estimate the ablation zones using microwave ablation.

摘要

目的

本研究旨在比较不同组织中微波和射频消融的消融区域与高回声区之间的差异。

方法

对新鲜猪肌肉和肝脏分别采用不同功率水平的微波和射频消融,消融时间均为 90 秒。随后对 20 W 功率下的兔肝进行 2 种方法的体内消融,时间为 60 秒。比较不同消融方法后的消融区和高回声区的体积。

结果

在相同的功率和时间下,2 种消融方法的消融区均显著大于高回声区(P <.05)。在肌肉和肝脏组织中,消融区和高回声区之间的差异具有统计学意义(P <.05)。2 种消融方法的消融区和高回声区的差值也具有统计学意义(P <.05)。

结论

在指定的消融时间内,高回声区可能低估了消融的范围。在相同的组织中,微波消融时高回声区可以更准确地估计消融区。

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