胃肠道肿瘤诊断中彩色多普勒超声的应用价值

The Clinical Value of Color Ultrasound for Diagnosis of Gastrointestinal Tract Tumor

目的了解彩色多普勒超声在诊断胃肠道肿瘤中的应用价值,提高术前正确诊断率。方法临床彩色多普勒超声所见腹腔或盆腔占位,后经手术或超声引导下活检病理诊断进一步证实。结果临床彩超所见腹腔或盆腔占位,后经手术或超声引导下活检病理证实来源为胃、小肠或结肠良恶性肿瘤27例,其中小肠及胃平滑肌肉瘤各3例,空结肠恶性间质瘤5例,胃及结肠腺癌14例,胃淋巴瘤2例。27例病人中26例行纤维内窥镜检查,15例病理活检为恶性肿瘤(15/27),1例病理回报炎症(1/27),10例未见明显占位(10/27)。结论临床彩超在诊断腹腔或盆腔占位中的价值应得到临床医师的重视,在某些病例中甚至优于经典的纤维内窥镜和钡餐及气钡剂双重造影。

Objective To investigate the clinical value of color ultrasound for the diagnosis of gastrointestinal tract tumor. Method The color ultrasound was used to diagnose the space-occupying lesion in the abdominal cavity and pelvic cavity. All the cases were verified by the pathological examination through the operation or biopsy. Result Twentyseven cases of the space-occupying lesion in the abdominal cavity and pelvic cavity diagnosed by Color Ultrasound, and these cases were verified the tumor by the pathological examination through the operation or biopsy. In these cases, there are three leiomyosarcoma of small intestine and stomach, five malignant interstitialoma of jejunum and colon, fourteen adencarcinoma of and stomach and colon, two lymphoma of stomach. In these cases, the twenty-six cases were examined by the fiberendoscopy, and fifteen diagnosed malignant tumor, one inflammation, ten without the spaceoccupying lesion. Conclusion The results showed that the diagnostic value of color ultrasound should be approved. In some cases the value of color ultrasound superior to the classical fiberendoscopy, barium meal examination and air barium double contrast radiograph.