摘要
目的 分析胃窗超声造影在胃疾病诊断中的应用价值。方法 随机抽取100例胃部疾病患者作为此次研究对象，病例选择时间为2020年2月-2021年4月，对入选患者分别采用超声造影检查、常规检查，胃癌患者术后进行病理学诊断。结果 常规超声检查急性胃炎、胃溃疡、胃平滑肌瘤以及胃癌诊断正确率分别为20%，12%，10%以及10%，胃超声造影检查急性胃炎、胃溃疡、胃平滑肌瘤以及胃癌诊断正确率分别为38%，20%，16%以及22%，两组数据进行比较后差异显著，具有统计学意义（P＜0.05）；胃癌造影M分期诊断正确率为90.91%，和病理诊断结果比较组间数据无显著差异，不存在统计学意义（P＞0.05）。结论 胃疾病诊断中选择胃窗超声造影诊断价值显著，特别是对于胃癌晚期诊断具有重要意义。
关键词： 胃窗超声造影；胃肠疾病；诊断；应用价值
Abstract
Objective To analyze the value of contrast-enhanced ultrasonography in the diagnosis of gastric diseases. Methods 100 patients with gastric diseases were randomly selected as the subjects of this study. The cases were selected from february2020 to April 2021. The selected patients were examined by contrast-enhanced ultrasound and routine examination. The patients with gastric cancer were diagnosed pathologically after operation. Results the diagnostic accuracy of acute gastritis, gastric ulcer, gastric leiomyoma and gastric cancer by routine ultrasound was 20%, 12%, 10% and 10% respectively. The diagnostic accuracy of acute gastritis, gastric ulcer, gastric leiomyoma and gastric cancer by contrast-enhanced ultrasound was 38%, 20%, 16% and 22% respectively. There was significant difference between the two groups (P < 0.05); The diagnostic accuracy of m-staging of gastric cancer was 90.91%, and there was no significant difference between the two groups (P > 0.05). Conclusion the value of gastric window contrast-enhanced ultrasonography in the diagnosis of gastric diseases is significant, especially for the diagnosis of advanced gastric cancer.
Key words： Contrast-enhanced ultrasonography of gastric window; Gastrointestinal diseases; Diagnosis; Application value
参考文献 References
[1] 张新华.胃镜检查与胃肠超声造影对胃十二指肠疾病的诊断价值分析[J].影像研究与医学应用,2020,4(24):148-150.
[2] 艾欣. 胃窗超声造影在胃部占位性疾病诊断中的应用研究[D].卫生部北京老年医学研究所,2020.
[3] 王朝歆,薛晓轩,赵晖,杨玲,陆峥,李文华,王超,刘艳,苑舒淇.基于上腹部不适120例患者分析胃窗超声造影对比胃镜检查在胃部常见疾病诊断中的应用价值[J].影像研究与医学应用,2020,4(12):242-243.
[4] 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.胃窗超声造影检查在胃部疾病诊断中的应用价值[J].中国临床保健杂志,2020,23(03):340-343.
[5] 王姜莹. 胃窗超声造影在胃癌定量诊断中的应用研究[J]. 世界最新医学信息文摘, 2017, 17(22):1.
[6] 刘哲. 胃窗超声造影对早期胃癌的诊断价值评价[J]. 基层医学论坛, 2017, 21(34):2.
[7] 张文缙, 贾云芬, 宋雪云,等. 胃窗超声造影对肥厚并狭窄的幽门管组织结构的细致观察[J]. 世界最新医学信息文摘, 2016(65):244-245.
[8] 王姜莹. 胃窗声学造影超声检查对上腹部病变的诊断价值[J]. 中国高等医学教育, 2018(7):2.
[9] 林鸣琴, 林家东, 卢志娟,等. 胃窗超声造影在老年胃及十二指肠病变筛查中的应用[J]. 影像研究与医学应用, 2019(11):3.
[10] 侯武德. 胃窗超声造影对胃部病变的临床应用[J]. 中国医疗器械信息, 2015, 21(01Z):1.
[11] 张春梅, 杨晓, 熊鸣. 胃窗超声造影,MSCT及两者联合诊断胃癌术前TNM分期与手术后病理一致性研究[J]. 中国CT和MRI杂志, 2021, 19(10):3.
[12] 许春英. 胃窗超声造影与常规超声检查在胃癌术前T分期的诊断价值[J]. 中国实用医药, 2015(16):2.
[13] 周振玉, 洪明. 胃窗超声造影和高频小探头超声内镜在早期胃癌术前T分期中的应用价值[J]. 实用癌症杂志, 2018, 33(12):4.
[14] 王文婷, 吴昊, 张雷. ARFI与口服胃窗超声造影联合判定进展期胃癌病理分化程度[J]. 浙江临床医学, 2018, 20(8):2.