彩色多普勒超声检查胃十二指肠肿瘤59例分析

Color Doppler ultrasonography analysis in the examination of 59 cases with gastroduodenal Tumors

目的探讨彩色多普勒超声对胃十二指肠肿瘤的诊断价值。方法经手术病理及内窥镜活检组织病理证实的并行彩色多普勒超声检查的59例胃十二指肠肿瘤(52例胃癌和7例十二指肠癌)患者的声像图进行回顾性分析,观察其声像图表现,总结超声诊断的符合率。结果隆起型胃癌14例,超声2例误诊为胃息肉;溃疡型胃癌17例,超声3例误诊为胃溃疡及幽门梗阻;浸润型胃癌21例,超声2例误诊为急性胃炎,十二指肠水平部癌4例,超声1例误诊为结肠肿物局部浸润;十二指肠降部癌3例。超声对胃十二指肠肿瘤的诊断符合率86.4%(51/59),误诊率13.5%(8/59)。结论彩色多普勒超声对胃十二指肠肿瘤的诊断具有很广泛的应用价值。

Objective To investigate the color Doppler ultrasonography in the diagnosis of gastroduodenal tumors.Methods The ultrasonographic images of 59 patients with gastroduodenal tumor （42 cases were gastric and 7 cases were duodenal carcinoma）confirmed by surgical pathology or stomach endoscopic biopsy tissue pathology were retrospectively analyzed,and the ultrasonographic diagnosis and the accuracy of ultrasonic were recorded.Results In 14 cases of swelled gastric cancer,2 cases were misdiagnosed as gastric polyps;in 17 cases of gastric ulcer,3cases were misdiagnosed as ultrasonic ulcer and helicobacter obstruction;21cases of infiltration gastric cancer,2 case was misdiagnosed as acute gastritis;4 cases of duodenal level cancer cases,1 case was misdiagnosed as ultrasonic colon lesions local invasion,and 3 cases of duodenal drop cancer.The accuracy rate of ultrasound diagnosis for gastroduodenal tumor was 86.4% （51/59）,the misdiagnosis rate was 13.5% （8/59）.Conclusion Color Doppler ultrasonography has a wide application value in the diagnosis of tumour gastroduodenal.