胃肠道间叶源性肿瘤的影像学诊断应用比较

Imaging comparison in diagnosis of gastric mesonchymal tumor

目的分析多种影像学检查对胃肠道间叶源性肿瘤患者的诊断价值。方法回顾性分析经病理确诊的52例胃肠道间叶源性肿瘤患者,收集术前的胃窗超声造影、常规超声、胃镜、超声内镜、钡餐检查进行对比分析。结果胃窗超声造影检查、常规超声、胃镜、超声内镜、钡餐对胃肠道间叶源性肿瘤的检出率分别为95%、60%、95%、96%、67%,胃窗超声造影检查与常规超声比较差异有统计学意义(P<0.05),胃窗超声造影分别与胃镜、钡餐、超声内镜比较差异无统计学意义(P>0.05);胃镜与超声内镜、钡餐比较差异无统计学意义(P>0.05);钡餐分别与常规超声、超声内镜比较差异无统计学意义(P>0.05);超声内镜与常规超声比较差异有统计学意义(P<0.05)。结论胃窗超声造影可作为胃肠道间叶源性肿瘤的一种普查方式进行推广应用。

Objective To analyze the diagnosis value of imaging examinations on gastric mesonchymal tumor patients. Methods Fifty-two cases of gastric mesonchymal tumor patients confirmed by pathology were retrospectively analyzed. Collection of preoperative oral ultrasonic contrast agent ultrasound,conventional ultrasound,ultrasonic endoscopy,barium meal examination and gastroscopy and making a comparision on them. Results Oral ultrasonic contrast agent ultrasound,conventional ultrasound,gastroscope,ultrasonic endoscopy,barium meal examination detection rate were 95%,60%,95%,96%,67%. There was statistically significant difference between oral ultrasonic contrast agent ultrasound and conventional ultrasound（P〉0.05）;there was no statistical significance difference between oral ultrasonic contrast agent ultrasound and ultrasonic endoscopy or barium meal examination or gastroscopy respectively（P〉0.05）;there was no statistically significant difference between gastroscopy and ultrasonic endoscopy or barium meal examination respectively（P〉0.05）;there was no statistically significant difference between barium meal examination and conventional ultrasound or ultrasonic endoscopy respectively（P〈0.05）;there was statistically significant differences between ultrasonic endoscopy and conventional ultrasound（P〈0.05）. Conclusion Oral ultrasonic contrast agent ultrasound imaging can be used as a window between gastric mesonchymal tumors of popularization and application in the form of a census.