摘要
目的探讨胃窗超声造影在胃部疾病诊断中的应用价值。方法回顾性分析2012年3月至2019年4月北京医院门诊或住院患者106例胃窗超声造影表现,并与电子胃镜检查结果及病理结果进行对比。结果胃窗超声造影检出胃癌49例,电子胃镜检出胃癌52例,两者诊断符合率为94.2%(49/52);胃窗超声造影检出胃溃疡15例,电子胃镜检出22例,两者诊断符合率为68.1%(12/18);胃窗超声造影检出胃息肉、胃良性肿瘤及胃炎等胃部良性疾病16例,电子胃镜检出29例,诊断符合率为55.1%(10/19)。对于胃癌的诊断,胃窗超声造影与胃镜较为一致(κ=0.742),两种检查方式差异无统计学意义(P>0.05)。胃窗超声造影检查与病理结果相比准确率92.4%(κ=0.793)。胃部恶性疾病较良性疾病胃壁增厚明显,两者差异有统计学意义(P<0.05)。结论胃窗超声造影在胃部疾病的诊断及胃癌的检出中具有应用价值,可作为早期筛查技术。
Objective To explore the value of oral contrast inhanced ultrasound in the diagnosis of gastric diseases.Methods A retrospective analysis of 106 patients with outpatients or inpatients in our hospital from March 2012 to April 2019 was performed with contrast enhanced ultrasonography and pathological results.Results 49 cases of gastric cancer were detected by oral contrast enhanced ultrasound and 52 cases of gastric cancer were detected by electronic gastroscope.The diagnostic coincidence rate was 94.2%(49/52);15 cases of gastric ulcer were detected by contrast enhanced gastrosonography and 22 cases were detected by electronic gastroscope.The diagnostic coincidence rate of the two was 68.1%(12/18);16 cases of benign gastric diseases such as gastric polyps,gastric benign tumors and gastritis were detected by contrast-enhanced ultrasound,29 cases were detected by electronic gastroscopy,and the diagnostic coincidence rate was 55.1%(10/19).For the diagnosis of gastric cancer,oral contrast enhanced ultrasonography is consistent with gastroscopy(κ=0.742),and there is no significant difference between the two methods(P>0.05).Compared with pathological results,the accuracy of gastric window contrast ultrasonography was 92.4%(κ=0.793).The malignant gastric disease had a thicker gastric wall than the benign disease,and the difference was statistically significant(P<0.05).Conclusion Oral contrast enhanced ultrasound has application value in the diagnosis of gastric diseases and the detection of gastric cancer.It can be used as an early screening technology.
作者
艾欣
王川予
陈秀华
范小晶
刘媛
贾静怡
杜俊
王薇
周新平
戴维德
Ai Xin;Wang Chuanyu;Chen Xiuhua;Fan Xiaojing;Liu Yuan;Jia Jingyi;Du Jun;Wang Wei;Zhou Xinping;Dai Weide(Department of Ultrasound,Beijing Hospital,National Center of Gerontology,Chinese Academy of Medical-Sciences Institute of Geriatrics,Beijing 100730,China;不详)
出处
《中国临床保健杂志》
CAS
2020年第3期340-343,共4页
Chinese Journal of Clinical Healthcare
基金
国家“十三五”重点研发计划项目(2018YFC2000301)。
关键词
胃疾病
超声检查
多普勒
胃镜检查
诊断技术
消化系统
Stomach diseases
Ultrasonography,doppler
Gastroscopy
Diagnostic techniques,digestive system
