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Published Online:19 January 2016,
Published:19 January 2016
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谢海琴,王丹军,陈芸,等. 超声造影在胃十二指肠病变筛查中的初步研究[J]. 肿瘤影像学, 2015, 24(4): 279-281
DOI:
谢海琴,王丹军,陈芸,等. 超声造影在胃十二指肠病变筛查中的初步研究[J]. 肿瘤影像学, 2015, 24(4): 279-281 DOI:
目的:
探讨超声造影在胃十二指肠病变筛查中的应用价值。
方法:
228例体检者行超声造影检查,图像采用3级评判,以胃镜对照,分析图像质量及诊断符合率。
结果:
图像质量均以Ⅲ级显示为主,食管下段,贲门,胃底,胃体,胃窦,十二指肠球部及降部和水平部Ⅲ级显示比分别为77.6%、82.5%、77.2%、87.7%、86.0%、78.1%、64.9%、52.6%;超声造影诊断的符合率、灵敏度、特异度、阳性和阴性预测值分别为98.1%、88.9%、100%、100%和97.7%。超声造影与胃镜比较差异无统计学意义(
P
0.05)。
结论:
超声造影是一种无创、安全、依从性较高的检查方法,可作为胃十二指肠病变的筛查手段之一。
Objective:
To investigate the value of oral contrast-enhanced ultrasonography (OCUS) in screening of stomach and duodeum diseases.
Methods:
OCUS screening was conducted in 228 residents in our hospital. The quality and diagnostic accuracy were compared with gastroscopic results.
Results:
The image quality was good
almost at level Ⅲ. The rates of level Ⅲ of lower esophagus
cardia
gastric fundus
gastric body
gastric antrum
duodenal bulb
duodenal descending and duodenal horizontal part of duodenum were 77.6%
82.5%
77.2%
87.7%
86.0%
78.1%
64.9% and 52.6%
respectively. The accuracy
sensitivity
specificity
positive and negative predictive values were 98.1%
88.9%
100%
100% and 97.7%
respectively. Th
ere was no significant difference between OCUS and gastroscope (
0.05).
Conclusion:
OCUS is a noninvasive and safe method with high medical compliance. It can be used in the screening of stomach and duodeum diseases.
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