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超声和胃镜对胃隆起性病变的对比研究

Comparative Study on Gastric Bulgy Lesions by Ultrasonography and Gastroscopy

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【作者】 乐桂蓉; 汪元芳; 黄道中; 张青萍; 王天才;

【Author】 Le Guirong ,Wang Tiancai,Wang Yuanfang et atDepartment of Ultrasound Imaging, Tongji Hospital, Tongji Medical University, Wuhan 430030 Department of Internal Medicine, Tongji Hospital, Tongji Medical University, Wuhan 430030

【机构】 同济医科大学附属同济医院超声影像科; 同济医科大学附属同济医院内科 武汉430030; 武汉430030;

【摘要】 为探讨胃声学造影显像对胃隆起性病变的诊断价值,对66例经超声和胃镜检查,后经手术或/和病理证实的患者进行对比研究。结果表明:胃声学造影显像对隆起性胃癌、胃恶性淋巴瘤和胃息肉3种病变检出率类似(P>0.05),而对粘膜下肿瘤、胃外压迫所致的胃内隆起性病变较胃镜为高(P<0.05或P<0.01),且有助于隆起性病变生长方式及良、恶性的鉴别。结论:胃声学造影显像作为一种安全可靠、无创伤、可追踪复查的检查手段,为普查和筛选胃隆起性病变类型提供了重要的诊断依据。

【Abstract】 To investigate the diagnostic value of ultrasonography with the help of a quick gastric contrast agent in gastric bulgy lesions, ultrasonography and gastroscopy were used to examine gastric bulgy lesions confirmed by operation and(or) pathology. The diagnostic rate of bulgy gastric carcinoma, gastric malignant lym-phoma and gastric polyp by gastric contrast ultrosonography was similiar to that by gastroscopy(P>0. 05). For the tumor under the mucosa and the gastric bulgy lesions caused by pressure outside, the diagnostic rate by ultrasonography was higher than by gastroscopy(P<0. 05 or P<0. 01). Meanwhile ultrasonography was helpful to e-valuate the growth pattern of carcinoma and differentiate benign lesions from malignant lesions. As a safe, reliable and noninvasive method, gastric contrast ultrasonography is proved to be an important diagnostic means for general examination and screen of gastric bulgy lesions.

  • 【文献出处】 同济医科大学学报 ,Journal of Tongji Medical University , 编辑部邮箱 ,1998年06期
  • 【分类号】R445.1
  • 【被引频次】1
  • 【下载频次】33
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