胃充盈状态下经腹超声对早期胃癌的诊断价值

The value of transabdominal gastric-filling ultrasonography in the diagnosis of early gastric carcinoma

目的:探讨胃充盈状态下经腹超声对早期胃癌的诊断价值。方法:回顾性分析我院诊治的67例早期胃癌患者的病历资料,分析其胃充盈状态下经腹超声的声像图特点,并与术后病理结果进行比较,评价经腹超声检测早期胃癌的价值。结果:67例术后病理共发现71个早期胃癌病灶,术前经腹超声检查共检出56例58个病灶,总检出率81.7%(58/71)。对于病灶直径<1 cm、位于胃底、平坦型的早期胃癌,超声检出率较低,分别为45.4%、42.9%、60.8%,差异均有统计学意义(均P<0.05)。结论:胃充盈状态下经腹超声对早期胃癌的检出具有一定价值,但对于直径较小、位于胃底及浅表型的病灶易漏诊,检查时应引起重视。

Objective：To evaluate the value of transabdominal gastric-filling ultrasonography in the diagnosis of early gastric carcinoma. Methods：Medical records of 67 patients treated as early gastric carcinoma in our hospital during the year 2012 to 2015 were analysed. Transabdominal gastric-filling ultrasound scanning were performed to all the patients before operation. With Chi-square test,the ultrasonography findings were compared with pathological results. Results：71 early gastric carcinoma lesions were diagnosed by pathology in the 67 patients,and 58 of the lesions were detected by ultrasonography before operation. Ultra-sonograpy had lower detection rate for those lesions which located in gastric fundus,shaped with flat type,or smaller than 1cm by the size. The difference was statistically significant （P〈0.05）. Conclusion：Transabdominal gastric-filling ultrasonography has certain value in the diagnosis of early gastric carcinoma,but the lesions could be missed when located in gastric fundus,with plat shape,or smaller than 1 cm. Special attention should be paid in this situation.