超声诊断腹段食管病变的临床价值  

Clinical Application of Ultrasonography in Diagnosing Abdominal Esophagus Disease

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

机构地区：[1]北京市空军总医院,100036

出　　处：《中国超声医学杂志》1999年第11期827-829,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的： 探讨常规经腹超声检测腹段食管病变的诊断价值。方法： 常规超声经肝窗探查患者腹段食管，观察其声像图特征及周围淋巴结情况， 与胃镜和手术结果对照分析。结果： 超声检测腹段食管显示率为９６％ ， 正常组、良性病变组、食管癌组的管壁厚度分别为３．１±０．２４ｍ ｍ 、４．９±２．０ｍ ｍ 、１０．６±２．０ｍ ｍ ， 各组间食管壁厚度均存在显著差异 （Ｐ＜ ０．００１）， 以食管壁厚度８ｍ ｍ 为截断点， 超声诊断腹段食管癌的敏感性为 ９３％ ， 特异性为９８％ ， 准确度为９７％ 。对伴随淋巴结转移的诊断符合率８１％ 。结论： 超声诊断腹段食管病变， 可作为胃镜和Ｘ 线钡透的有效补充， 对临床决策具有重要价值。Objective:To study the diagnostic value of routine transabdominal ultrasonography for abdominal esophageal diseases.Methods:Routine ultrasound beam passes through the window of the left lobe of liver to detect the abdominal esophagus and the surrounding lymph node.The ultrasound findings were compared with operation and gastroscopy.Results:The normal abdominal esophagus detection rate was 96%.The thickness of the wall varied to be 3 1±0 24mm,4 9±2 0mm,10 6±2 0mm respectively in cases of normal,benign and malignancy groups.When the cut off value was set at 8mm,the ultrasonic diagnostic sensitivity,specificity and accuracy were 93%,98% and 97% respectively for abdominal esophagus carcinoma,the accuracy rate was 81% for lymph node metastasis.Conclusion:Ultrasonography,endoscopy and X ray are reciprocal in diagnosis of abdominal esophagus diseases.

关 键 词：食管癌 超声波诊断 临床价值 

分 类 号：R735.104[医药卫生—肿瘤] R730.41[医药卫生—临床医学]