摘要
目的探讨彩色多普勒超声在胃肠道肿瘤诊断中的应用价值。方法选择手术或超声引导穿刺活检证实为胃肠道肿瘤的37例患者为研究对象，分析其超声图像特征，评价彩色多普勒超声在胃肠道肿瘤诊断中的价值。结果37例患者中，病理诊断为胃腺癌5例，胃间质瘤5例，胃淋巴瘤2例，小肠平滑肌瘤4例，结肠癌14例，结肠间质瘤7例；超声定位诊断胃部肿瘤12例，小肠肿瘤4例，结肠肿瘤21例，定位诊断准确率为100%，与病理诊断一致（Kappa＝1）；除1例结肠腺癌患者超声检查误诊为结肠间质瘤外，其余均与病理诊断结果一致，定性诊断的准确率为97.30%，与病理诊断一致性良好（Kappa＝0.937）。结论彩色多普勒超声诊断胃肠道肿瘤与病理诊断结果的一致性良好，具有很高的临床应用价值。
Objective To investigate the application value of color Doppler ultrasound in the diagnosis of gastrointestinal tumor. Methods Thirty-seven patients with gastrointestinal tumor confirmed by surgery or biopsy guided by ultrasound were selected as objects, to analyze the ultrasonic image characteristics and to evaluate the value of color Doppler ultrasound in the diagnosis of gastrointestinal tumors. Results In this study, pathologic diagnoses of 37 patients presented 5 cases of gastric carcinoma, 5 cases of gastric stromal tumor, 2 cases of gastric lymphoma, 4 cases of small intestinal leiomyoma, 14 cases of colon cancer, 7 cases of colon stromal tumor; ultrasonic localization diagnosis presented 12 cases of stomach tumor, 4 cases of small intestine tumors, 21 cases of colon tumor, localization diagnostic accuracy was 100% , which was in line with pathological diagnosis （ Kappa = 1 ） ; except 1 case of colonic carcinoma misdiagnosed as colon stromal tumors, the rest ultrasound diagnoses were consistent with the pathological diagnosis, the accuracy of qualitative diagnosis was 97.30% , and was in good consistency with the pathological diagnosis （ Kappa = 0. 937）. Conclusions Color Doppler ultrasound diagnosis of gastrointestinal tumor is in good consistency with corresponding pathological diagnosis, and has very high clinical value.
作者
沈志军
Shen Zhijun(Department of Ultrasound, the First People＇ s Hospital of Zhumadian, Zhumadian 463000, Chin)
出处
《中国实用医刊》
2017年第19期84-86,共3页
Chinese Journal of Practical Medicine
关键词
胃肠道肿瘤
彩色多普勒超声
诊断
应用价值
Gastrointestinal tumor
Color Doppler ultrasound
Diagnosis
Application value
