胃肠充盈超声造影检查在反酸、嗳气患者临床诊断中的应用

Application of gastrointestinal filling contrast-enhanced ultrasound in the clinical diagnosis of patients with acid reflux and belching

目的探讨胃肠充盈超声造影在具有反酸、嗳气患者的临床诊断中的应用价值。方法回顾性分析2020年12月至2022年12月期间具有反酸、嗳气症状的患者120例,利用胃镜、CT等常规检查手段和病理检查确诊胃食管反流病(反流组)43例、消化性溃疡44例、胃肿瘤33例,同时选取40例健康志愿者作为对照组,并对两组患者行胃肠充盈超声造影技术进行复检;采用SPSS20.0进行统计学分析,胃肠超声造影检测与常规胃部检测手段计数资料比较以[例(%)]表示,采用χ^(2)检验。P<0.05为差异有统计学意义。结果胃肠充盈超声检查与常规筛查符合率:胃食管反流病为88.4%(38/43);消化性溃疡(胃溃疡23例、十二指肠溃疡17例)为90.9%(40/44);胃肿瘤(22例恶性肿瘤,9例良性肿瘤)为93.9%(31/33)。胃肠充盈超声检查与胃镜、CT等其他临床确诊手段和病理检查相比差异无统计学意义(P>0.05);反流组与对照组患者的胃肠充盈超声检查结果在5min内反流次数和5min内反流时间上差异有统计学意义(P<0.05);超声检查患者服从率为91.7%,而胃镜检查患者服从率仅为18.3%(P<0.05)。结论胃肠充盈超声造影技术对反酸、嗳气患者在临床中的疾病诊断具有很高的应用价值,可大幅度提升胃部疾病诊断的准确性,有助于胃癌患者的早期筛查。

Objective To investigate the application value of gastrointestinal filling contrast-enhanced ultrasound in the clinical diagnosis of patients with acid reflux and belching.Methods A retrospective analysis was performed on 120 patients with reflux and eructation symptoms from December 2020 to December 2022,and 43 cases of gastroesophageal reflux disease(regurgitation group),44 cases of peptic ulcer and 33 cases of gastric tumor were confirmed by gastroscopy,CT and other routine examination methods and pathological examination.40 healthy volunteers were selected as the control group.Gastrointestinal filling contrast-enhanced ultrasonography was performed in the two groups.SPSS20.0 was used for statistical analysis.The statistical data of gastrointestinal contrast-enhanced ultrasound detection and conventional gastric detection were compared by[cases(%)]andχ^(2)test was used.P<0.05 was considered statistically significant.Results The coincidence rate between gastrointestinal filling ultrasonography and routine screening was 88.4%(38/43)in patients with gastroesophageal reflux disease.Peptic ulcer(23 cases gastric ulcer,17 cases duodenal ulcer)90.9%(40/44);Gastric neoplasms(22 malignant and 9 benign)were 93.9%(31/33).There was no significant difference between gastrointestinal filling ultrasonography and other clinical diagnostic methods such as gastroscopy,CT and pathological examination(P>0.05).There were significant differences in the frequency of reflux within 5 min and the time of reflux within 5min between the reflux group and the control group(P<0.05).The compliance rate of ultrasound was 91.7%,while that of gastroscopy was only 18.3%(P<0.05).Conclusion Gastrointestinal filling contrast-enhanced ultrasound technology has a high application value in the clinical diagnosis of acid reflux and belching patients,which can greatly improve the accuracy of the diagnosis of stomach diseases and contribute to the early screening of gastric cancer patients.