胃肠充盈造影在胃十二指肠疾病中的诊断价值

The Diagnosis Value of Gastrointestinal Contrast Filling in Gastroduodenal Diseases

目的探索胃十二指肠疾病诊断中胃肠充盈造影方法的应用价值。方法纳入2018年1月至2022年12月期间疑似胃十二指肠疾病的患者96例。所有患者分别接受胃肠充盈造影检查、消化道钡餐检查并最终采取病理学检验,将病理检验结果作为金标准,评估不同检查方法对胃十二指肠疾病的诊断效能以及不同疾病类型的检出情况。结果96例疑似胃十二指肠疾病患者经过金标准检查确诊90例(93.8%),其中慢性胃炎46例、胃十二指肠溃疡25例、胃息肉12例、胃癌7例。经过胃肠充盈造影检查,检出胃壁局部增厚43例、胃十二指肠疑似溃疡24例、胃息肉13例、胃癌6例,共检出86例(89.6%)。通过消化道钡餐检查,检出慢性胃炎50例、胃十二指肠溃疡15例、胃息肉10例、胃癌2例,共检出77例(80.2%)。胃肠充盈造影对胃十二指肠疾病的检出率高于消化道钡餐检查(P<0.05)。胃肠充盈造影检查的灵敏度(95.56%)、准确性(93.75%)高于消化道钡餐检查(P<0.05);检验特异度比较,两种检查方法无统计学差异。结论临床对于疑似胃十二指肠疾病的患者可采取胃肠充盈造影检查,相比消化道钡餐检查,可以更准确鉴别不同疾病类型,有着更优的诊断效能,有助于早诊断、早治疗,优化临床结局。

Objective To explore the application value of gastrointestinal contrast-enhanced filling in the diagnosis of gastroduodenal diseases.Methods A total of 96 cases suspected of gastroduodenal disease between January 2018 and December 2022.were selected as the analysis subjects.All patients underwent gastrointestinal contrast-enhanced filling examination,gastrointestinal barium meal examination,and ultimately underwent pathological examination.The pathological examination results were used as the gold standard to evaluate the diagnostic efficacy of different examination methods for gastroduodenal diseases and different disease types.Results A total of 90(93.8%)out of 96 suspected gastroduodenal disease patients were diagnosed through gold standard examination,including 46 cases of chronic gastritis,25 cases of gastroduodenal ulcers,12 cases of gastric polyps,and 7 cases of gastric cancer.After gastrointestinal contrast-enhanced filling examination,43 cases of local thickening of the gastric wall,24 cases of suspected gastric and duodenal ulcers,13 cases of gastric polyps,and 6 cases of gastric cancer were detected,with a total of 86 cases(89.6%)detected.Through gastrointestinal barium meal examination,50 cases of chronic gastritis,15 cases of gastroduodenal ulcers,10 cases of gastric polyps,and 2 cases of gastric cancer were detected,with a total of 77 cases(80.2%)detected.The detection rate of gastrointestinal contrast-enhanced filling for gastroduodenal diseases is higher than that of gastrointestinal barium meal examination,P<0.05.The sensitivity(95.56%)and accuracy(93.75%)of gastrointestinal contrast-enhanced filling examination were higher than that of gastrointestinal barium meal examination,P<0.05;they had no statistical difference in diagnostic specificity.Conclusions Gastrointestinal contrast-enhanced filling examination can be used in clinical practice for patients suspected of gastroduodenal diseases,which can more accurately distinguish different types of diseases.Compared with gastrointestinal barium meal examination,it has higher diagnostic efficiency,which can achieve early diagnosis and treatment and optimize clinical outcomes.