胃肠超声造影及胃镜检查对老年胃十二指肠疾病的诊断价值  

Diagnostic value of gastrointestinal contrast-enhanced ultrasonography and gastroscopy in elderly patients with gastroduodenal diseases

作　　者：刘肖莲[1] 田爱红[1] 柴梅 马俊杰 LIU Xiao-lian;TIAN Ai-hong;CHAI Mei;MA Jun-jie(Functional Department,Dongguan Qiaotou Hospital,Dongguan 523000,Guangdong,CHINA)

机构地区：[1]东莞市桥头医院功能科,广东东莞523000

出　　处：《海南医学》2023年第3期395-397,共3页Hainan Medical Journal

摘　　要：目的研究胃肠超声造影及胃镜检查对老年胃十二指肠疾病的诊断价值。方法回顾性分析2019年11月至2021年12月在东莞市桥头医院就诊的76例均实施胃肠超声造影与胃镜检查的老年胃十二指肠疾病患者的临床资料和跟踪随访记录。按照检查方法分为胃肠超声造影组与胃镜检查组。以病理学检查结果为金标准,比较慢性胃炎、十二指肠溃疡、胃溃疡、十二指肠球炎、胃息肉、胃癌的超声造影与胃镜检查结果的符合率。结果胃肠超声造影组患者的慢性胃炎、十二指肠溃疡、胃溃疡、十二指肠球炎、胃息肉和胃癌的检出率以及总检出率分别为63.16%、7.89%、5.26%、10.53%、2.63%、5.26%、94.74%,分别与胃镜检查组的65.79%、5.26%、2.63%、7.89%、2.63%、2.63%、86.84%比较差异均无统计学意义(P>0.05)。结论胃肠超声造影检查方法在检查老年胃十二指肠疾病患者中具有较高的临床使用价值,其不仅无创,操作方便,并且有着较高的安全性和可重复性。Objective To study the diagnostic value of gastrointestinal contrast-enhanced ultrasonography and gastroscopy in elderly patients with gastroduodenal diseases.Methods Retrospective analysis was made on the clinical data and follow-up records of 76 elderly patients with gastroduodenal diseases who were treated in Dongguan Qiaotou Hospital from November 2019 to December 2021,who underwent gastrointestinal contrast-enhanced ultrasonography and gastroscopy.According to the examination methods,they were divided into gastrointestinal contrast-enhanced ultrasonography group and gastroscopy group.The coincidence rates of contrast-enhanced ultrasonography and gastroscopy for chronic gastritis,duodenal ulcer,gastric ulcer,duodenitis,gastric polyp,and gastric cancer were compared,taking pathological examination results as the gold standard.Results The detection rate and total detection rate of chronic gastritis,duodenal ulcer,gastric ulcer,duodenitis,gastric polyp,and gastric cancer in the gastrointestinal contrast-enhanced ultrasonography group were 63.16%,7.89%,5.26%,10.53%,2.63%,5.26%,and 94.74%,which showed no significant difference with 65.79%,5.26%,2.63%,7.89%,2.63%,2.63%,and 86.84%in the gastroscopy group(P>0.05).Conclusion Gastrointestinal contrast-enhanced ultrasonography has a high clinical value in the examination of elderly patients with gastroduodenal diseases.It is not only non-invasive,easy to operate,but also safe and repeatable.

关 键 词：老年 胃十二指肠疾病 超声造影 胃镜 病理 诊断价值 

分 类 号：R573[医药卫生—消化系统]