实时超声检查结合新型胃超声显影剂诊断消化性溃疡的临床价值  

Clinical value of real-time ultrasound combined with new gastric ultrasound contrast agents in diagnosis of peptic ulcer

作　　者：刘雪云 宋宏萍[2] 梁越 王少多 

机构地区：[1]陕西省蒲城县中医医院超声科,715500 [2]第四军医大学西京医院超声科

出　　处：《临床超声医学杂志》2014年第10期707-709,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声检查在诊断消化性溃疡的临床价值。方法利用超声检查结合新型胃肠超声显影剂对150例消化性溃疡患者进行超声检查,以胃镜检查结果作为金标准,并与X线钡餐造影结果进行对照。结果 150例患者超声诊断与金标准相符136例,诊断准确率达94.7%;超声检查与X线钡餐的敏感度分别为95.1%和86.0%,特异度分别为85.7%和57.1%,准确率分别为94.7%和84.7%,两种方法的敏感度、准确率比较差异均有统计学意义(均P﹤0.05)。结论使用新型胃肠超声显影剂明显提高了超声对消化性溃疡的检出率和诊断准确率,使超声成为诊断消化性溃疡简易的影像学检查方法,具有较高的临床实用价值。Objective To explore the clinical value of ultrasound in diagnosis of peptic ulcer.Methods Totally 150 patients suspected with peptic ulcer underwent real-time ultrasound combined with new gastric ultrasound contrast agents. Taking stomachoscopy as the gold standard, the results were compared with those of X-ray barium meal.Results The diagnostic rate of real-time ultrasound combined with new gastric ultrasound contrast agents was 94.7 %.The sensitivity of ultrasound and X-ray barium meal in assessment of peptic ulcer was 95.1% and 86.0%, respectively, the specificity was 85.7% and 57.1%, respectively, the accuracy was 94.7% and 84.7%, respectively. There was significant difference of sensitivity and accuracy between the two methods （P 〈 0.05）.Conclusion By using new gastrointestinal ultrasound contrast agents, the detection rate and the diagnostic accuracy of peptic ulcer can be obviously improved , which has higher clinical practical value.

关 键 词：超声检查 造影剂 溃疡 消化性 

分 类 号：R735.2[医药卫生—肿瘤] R445.1[医药卫生—临床医学]