超声诊断贲门病变的临床应用  

Application of Ultrasonogrpahy in Diagnosis of Cardia Diseases

作　　者：邵波[1] 姚克纯[1] 唐杰[1] 朱新荣[1] 姚志勇[1] 李学甫[1] 

机构地区：[1]北京市空军总医院超声科

出　　处：《中国超声医学杂志》1999年第7期530-532,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的：探讨常规经腹超声检测贲门病变的诊断价值。方法：常规超声经肝窗探查患者胃贲门部，观察声像图特征及周围淋巴结情况，超声显像与胃镜和手术结果对照分析。结果：超声检测贲门显示率为９６％，正常组、良性病变组、贲门癌组的贲门壁厚度分别为４．０±０．２５ｍｍ、７．６±４．３ｍｍ、１７．２±５．６ｍｍ，各组间均存在显著差异（Ｐ＜０．００１），以贲门壁厚度９ｍｍ为截断点，超声诊断贲门癌的敏感性、特异性、准确度均为９８％。对伴随淋巴结转移的诊断符合率为８１％。结论：超声诊断贲门部病变，可作为胃镜和Ｘ线钡餐造影的有效补充，对临床决策具有重要价值。Objective: To investigate the value of transabdominal ultrasonography for diagnosing gastric cardia diseases. Methods: Ultrasound beam passes through the window of the left lobe of liver to the cardia and its surroundings. Results: The overall cardia detected rate was 96%.The wall thickness of normal cardia,the benign and the malignant lesion were 4002mm,7643mm and 17256mm respectively.The US diagnostic sensitivity,specificity and accurate rate of cardia carcinoma were all 98%,when cut off value was set at 9mm of the cardia wall,the lymph node metastasis diagnostic rate was 80%. Conclusion: Ultrasonography is a reciprocal method to endoscopy and Xray barium meal in diagnosis of some cardia diseases.

关 键 词：贲门癌 超声波诊断 临床应用 

分 类 号：R735.204[医药卫生—肿瘤] R730.41[医药卫生—临床医学]