胃肠超声造影在胃十二指肠疾病中的应用价值

Application value of gastrointestinal ultrasound in clinical practice

目的探讨胃肠超声造影在胃十二指肠疾病中的应用价值。方法选取2018年5月至2020年5月湖南省脑科医院收治的60例胃十二指肠疾病患者作为研究对象,给予胃肠超声造影与上消化道钡餐造影检查,以胃镜下病理检查为金标准,比较胃肠超声造影与上消化道钡餐造影检出率的灵敏度、准确度及特异度。结果60例患者经胃镜下病理检查后确诊为恶性病变15例(25.00%),其中胃恶性淋巴瘤2例、胃癌13例;经胃肠超声造影检查后确诊为恶性胃十二指肠疾病17例,其中胃恶性淋巴瘤3例、胃癌14例;经上消化道钡餐造影检查后确诊为恶性病变25例,其中胃恶性淋巴瘤7例、胃癌18例。胃肠超声造影检查的灵敏度、准确度及特异度(93.33%、93.33%、93.33%)高于上消化道钡餐造影(46.67%、56.67%、60.00%),差异有统计学意义(P<0.05)。结论胃肠超声造影用于胃十二指肠疾病诊断中具有较高的临床价值,不仅操作简单、方便、无创,并且安全性高、可重复,适用于大规模的胃肠疾病普查,值得在基层医院推广。

Objective To explore the clinical value of gastro intestinal ultrasound contrast in gastro duodenal disease.Methods Sixty patients with gastro duodenal diseases admitted to Brain Hospital of Hunan Province from May 2018 to May 2020 were selected as the research objects.Gastrointestinal contrast-enhanced ultrasonography and barium meal examination of upper digestive tract were given.The sensitivity,accuracy and specificity of gastrointestinal contrast-enhanced ultrasonography and barium meal examination of upper digestive tract were compared with gastroscopy.Results A total of 15 cases(25.00%)of 60 patients were diagnosed as malignant lesions after endoscopic pathological examination,including 2 cases of gastric malignant lymphoma and 13 cases of gastric cancer.A total of 17 cases of malignant gastro duodenal diseases were diagnosed by gastrointestinal contrast-enhanced ultrasonography,including 3 cases of gastric malignant lymphoma and 14 cases of gastric cancer.After upper gastrointestinal barium meal examination,a total of 25 cases were diagnosed as malignant lesions,including 7 cases of gastric malignant lymphoma and 18 cases of gastric cancer.The sensitivity,accuracy and specificity(93.33%,93.33%,93.33%)of gastrointestinal contrast-enhanced ultrasound were higher than those of upper gastrointestinal barium meal contrast(46.67%,56.67%,60.00%),and the differences were statistically significant(P<0.05).Conclusion Gastrointestinal contrast-enhanced angiography has high clinical value in the diagnosis of gastro duodenal diseases.It is simple,convenient,non-invasive,safe,and reproducible.It is suitable for large-scale census of gastro intestinal diseases and is worthy of promotion in primary hospitals.