肝胆超声检查时对胃区进行探测的意义

The detection significance of liver and billiary ultrasonic examination for gastric ares

目的 :探讨在进行肝胆超声检查的同时对胃区进行常规扫查的意义。方法 :本文总结了 1993年以来在做肝胆超声检查时首诊发现胃壁增厚的病例 94例 ,所有病人均做了胃内窥镜检查及病理组织学诊断。结果 :共发现胃癌 73例 ,占总病例数 78% ;胃溃疡及胃炎各 8例 ,各占总病例数的 8.5 % ;胃肠间质瘤 3例 ,占 3.1% ;恶性胃肠间质瘤及胃恶性淋巴瘤各占 1.0 8%。结论 :在临床医生未明确诊断的情况下 ,作为超声科医生能在检查肝胆疾患的同时对胃区进行扫查 ,可以发现一些较明显的胃壁增厚性病变 ,提醒临床医生做进一步的检查。

Objective:To exlpore the routine ultrasonic scanning significance for liver,dilliary and gastric area examination simultaneously.Methods:Since 1993,this paper summarize the first ultrasonic examination for liver and billiary system,the 94 cases had gastric wall thickening change were found,all patients underwent the gastroscopy and histop athologic diagnosis.Results:The 73 cases of gastric carcinoma were found,the ratio between these cases and the total number is 78%;the gastric ulcer and gastritis were found in 8 cases respectively,the tatio is 8.5%;gastroenteric mesenchymoma 3 cases,the ratio is 3.1%,the malignant gastroenteric mesenchymoma and gastric lymphoma,the ratio is 1.08%,respectively.Conclusion:If the diagnosis is not clear by the clinical physician,as a ultrasonic doctor,can be scanning to the liver,billiary diseases and gastric area simultaneouly,some obvious gastric wall thickening lesions may by found,and awoke to the clinical physician further perform another examination.