摘要
目的 研究分析超声显像在胃溃疡诊断中的应用价值。方法 4 9例经胃镜检查为胃溃疡的患者 ,采用超声多切面、多角度观察胃部结构及邻近脏器 ,并与胃镜检查结果比较 ,统计得出超声检出符合率。结果 4 9例患者中 ,超声诊断胃溃疡 39例 ,总体检出符合率为 79.6 % ;漏诊 10例 ,占 2 0 .4 %。 39例中 ,胃角部溃疡 2 7例 ,占 6 9.2 % ;胃小弯部溃疡 8例 ,占 2 0 .5 % ;胃大弯部溃疡 4例 ,占 10 .3%。4例溃疡型胃癌全部检出。结论 在胃充盈良好的情况下 ,超声可清楚分辨胃壁的各层结构及其异常改变 ,根据面积大小及凹陷程度、胃壁增厚与胃蠕动等指标可鉴别溃疡的程度及性质 ,对于溃疡型胃癌的发生及其对周围脏器的影响也有很好的分辨率。因此 ,超声对胃部溃疡的诊断虽具有较高价值 ,但对较小浅表的溃疡仍可能漏诊。
Objective To study and analyse the applicable value of ultrasonography in gastric ulcer diagnosis.Methods A total of 49 cases with gastric ulcer,who were diagnosed by gastroscopy,were scanned with ultrasound on stomachs and neighbour organs from multi-sections and multi-directions.The diagnostic results were compared with those of gastroscopy to calculate the coincidence rate.Results Thirty-nine of 49 cases were confirmed by ultrasonography and the overall coincidence rate was 79.6%.Ten cases(20.4%) were misdiagnosed.Among the 39 cases,27 cases (69.2%) were incisura angularis ulcer,8 cases(20.5%) were gastric body ulcer and 4 cases(10.3%) were gastric antrum ulcer.Conclusions 2-D ultrasonography is able to demonstrate the clear structures of the stomach wall stratifications and the morbid changes (e.g.,the ulcer area and location),and the therapeutic progress of gastric ulcer.2-D ultrasonography also has a good vision for gastric tumoral genesis and tumoral metastasis to the neighbour organs,especially to the individuals who were not suitable to undergo X-ray and gastroscopy examination,ultrasonography is the prior choice,but some superficial ulcers may be missed.After all,ultrasonography has good value in gastric ulcer diagnosis.
出处
《中国超声诊断杂志》
2005年第1期19-20,共2页
Chinese Journal of Ultrasound Diagnosis
