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口服二甲基硅油提高超声对胃平滑肌瘤检出率的探讨

Ultrasound Detection of Gastric Liomyoma with Oral Dimethyl Silicom Oil

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【作者】 谭昭敏宋玲龚明王清云邹萌

【Author】 Tan Zhaomin,Song Ling,Gong Ming,et al Department of Ultrasound,Bijie People’s Hospital,Guizhou 551700 China

【机构】 毕节地区人民医院超声室贵阳中医学院第一附属医院超声室毕节地区中医院

【摘要】 目的探讨口服二甲基硅油对胃平滑肌瘤的超声诊断价值。方法在空腹状态下,口服二甲基硅油20ml,15min后饮水300~400ml,待3~5min施行超声检查,观察胃肿瘤形态、部位、大小及回声特征,随后将服药及未服药超声判断结果,分别与胃镜取活体组织或术后病理检查结果进行对照分析。结果126例胃肿瘤经病理诊断,110例为胃平滑肌瘤,占87.3%(110/126),其中口服二甲基硅油超声检出率为91.8%(101/110),未服药超声检出率78.2%(86/110)。结论对胃平滑肌瘤经服二甲基硅油后,再行超声检查,能明显地提高胃肿瘤的检出率,且方法简便、迅速、无痛、无创,值得推广应用。

【Abstract】 Objective To investigate the ultrasound diagnostic value of oral dimethyl silicon oil(DSO) for gastric Liomyoma.Methods Patients took 20 ml of DSO,then 300-400 ml of water 15 minutes later in the fast state.Ultrasound was examined before and after oral DSO administration.The morphology,position,size and echoic characteristics were observed on sonography.The results were compared with the gastroscopic biopsy pathology.Results Totally 110 cases with liomyoma were diagnosed on ultrasound in 126 gastric tumors,87.3%(110/126).The gastric liomyoma detection rate was 91.8%(101/110) in the DSO group,vs 78.2%(86/110)in the non-DSO group.Conclusions Oral DSO increased the sonographic detection rate of liomyoma in our thudy.The procedure is simple,convenient and noninvasive.It is worthy for wildly clinical application.

  • 【文献出处】 中国超声医学杂志 ,Chinese Journal of Ultrasound in Medicine , 编辑部邮箱 ,2006年04期
  • 【分类号】R735.2
  • 【被引频次】4
  • 【下载频次】82
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