Miyajima Y, Sakaguchi S, Tohara K
Chikushi Hospital, Fukuoka University.
Nihon Rinsho. 1998 Apr;56(4):990-3.
Enhanced ultrasonography under the injection of microbubbles of carbon dioxide into the hepatic artery (CO2-US) contributed to the treatment of hepatocellular carcinoma in the selection of indication of transcatheter arterial embolization (TAE). Judging from the accumulation of the lipiodol after TAE with the combination of lipiodol, TAE was thought to be effective in the tumor which was enhanced by CO2 microbubbles more strongly and the enhancement was prolonged more longer compared to the surrounding parenchyma, even the tumor had no tumor staining on the hepatic angiography. In none of the tumor which had no enhancement, TAE was effective. In most of the tumor with isoenhancement compared with surrounding parenchyma TAE was not effective.
在肝动脉内注射二氧化碳微泡的增强超声检查(CO2-US)有助于肝细胞癌经导管动脉栓塞术(TAE)适应证的选择。从TAE联合碘油后碘油的积聚情况来看,对于那些经CO2微泡增强比周围实质更强烈且增强持续时间更长的肿瘤,即使在肝血管造影上肿瘤无肿瘤染色,TAE也被认为是有效的。在没有增强的肿瘤中,TAE均无效。在大多数与周围实质等增强的肿瘤中,TAE无效。