摘要
目的探讨胃肠超声充盈法对十二指肠疾病诊断的应用价值。方法选择我院收治的十二指肠疾病患者92例,所有患者皆口服胃肠超声造影剂,进行胃肠超声充盈检查,同时以胃镜下病理组织诊断作为诊断的标准,对比分析胃肠超声充盈检查检出率。结果其中十二指肠梗阻表现为梗阻近端肠管明显扩张,幽门管保持持续开放状态、胃潴留。十二指肠溃疡时,十二指肠充盈时间受到限制,时间明显被延长,球部发生变形。。胃肠超声充盈及胃镜检查对十二指肠溃疡、十二指肠炎症及十二肠梗阻的检出率分别为36.96%、33.70%、16.30%,33.70%、33.70%、18.48%,两种检查方法在对十二指肠溃疡、十二指肠炎症及十二肠梗阻的检出率差异不显著(P>0.05)。胃肠超声充盈及胃镜检查对十二指肠球部恶性肿瘤及十二指肠降部恶性肿瘤检出率对比差异不显著(P>0.05)。胃肠超声充盈检查和病理组织检查对十二指肠疾病的检出率对比差异不显著。结论胃肠超声充盈法检查有利于降低消化道内气体及内容物的影响,对十二指肠疾病具有较高的检出率。
Objective To explore the value of gastrointestinal ultrasound filling in the diagnosis of duodenal diseases.Methods A total of 92 patients with duodenal diseases admitted to our hospital from October 2013 to October 2018 were enrolled.All patients underwent oral gastrointestinal ultrasound contrast agent for gastrointestinal ultrasound filling examination.At the same time,the pathological tissue diagnosis under gastroscope was used as the diagnostic criteria,and the detection rate of gastrointestinal ultrasound filling examination was compared.Results The duodenal obstruction showed that the proximal intestinal tube was dilated,and the pyloric tube remained open and the stomach was retained.It showed"double bubble sign"or"single bubble sign".In duodenal ulcers,the filling time of the duodenum was limited,the time was obviously prolonged,and the ball was deformed.The detection rates of gastrointestinal ultrasound and gastroscopy for duodenal ulcer,duodenal inflammation and 12 intestinal obstruction were 36.96%,33.70%,16.30%,33.70%,33.70%,18.48%,respectively.There was no significant difference in the detection rate of duodenal ulcer,duodenal inflammation and duodenal obstruction(P>0.05).Gastrointestinal ultrasound filling and gastroscopy showed no significant difference in the detection rate of duodenal bulb malignant tumor and duodenal descending malignant tumor(P>0.05).There was no significant difference in the detection rate of duodenal diseases between gastrointestinal ultrasound filling and pathological examination(P>0.05).Conclusion Gastrointestinal ultrasound filling method is beneficial to reduce the influence of gas and contents in the digestive tract,and the use of contrast agent helps to reflect the pathological changes of the gastrointestinal tract,and has a high detection rate for duodenal diseases.
作者
魏秋鑫
蔡志清
宋军
WEI Qiuxin;CAI Zhiqing;SONG Jun(Ultrasound Department of Sichuan People's Hospital,Chengdu 610072,P.R.China)
出处
《医学影像学杂志》
2019年第11期1896-1899,共4页
Journal of Medical Imaging
基金
四川省干部保健科研课题项目(编号:2018-241)
关键词
胃肠超声充盈法
十二指肠疾病
超声检查
Gastrointestinal ultrasound filling method
Duodenal disease
Ultrasonography
