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本文报告经手术、胃镜和病理证实的150例胃溃疡的B超检查结果。总检出符合率为82%,其中溃疡直径<0.5cm及≤1.5cm者良性溃疡分别占91%和81.8%;>1.5cm者恶性溃疡为79.2%。提出了小凹陷增厚型和大凹陷增厚型二种声像图类型,对漏误诊的原因进行了分析。作者认为,B超诊断本病无痛苦、经济、较可靠,是首选方法之一;对溃疡的性质,可根据凹陷的大小形态、胃壁增厚的范围、胃蠕动变化程度及胃周围有无淋巴结肿大和其它脏器有无浸润转移进行鉴别。
This article reports the results of ultrasonography of 150 cases of gastric ulcer confirmed by surgery, gastroscopy and pathology. The total coincidence rate was 82%. Among them, the benign ulcer with ulcer diameter <0.5cm and ≤1.5cm accounted for 91% and 81.8% respectively; the malignant ulcer with> 1.5cm was 79.2%. Two kinds of echographic patterns of small depression thickening and large depression thickening were proposed, and the reasons of misdiagnosis were analyzed. The author believes that the B ultrasound diagnosis of the disease painless, economical, more reliable, is one of the preferred method; the nature of the ulcer, according to the size of the shape of the depression, the extent of gastric thickening, gastric motility changes and the presence or absence of lymph nodes around the stomach Swollen and other organs with or without metastasis to identify.