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目的探讨胃十二指肠超声诊断的检查方法及其临床价值。方法口服有回声型超声助显剂充盈胃腔后,对980例中胃十二指肠超声检查阳性病例的随访分析,总结胃十二指肠超声检查的方法学和临床价值。结果超声诊断阳性病例93例,其中进展期胃癌25例,消化性溃疡18例,胃息肉5例,食道下段(胃底)贲门癌8例,胃实质性肿瘤6例,胃窦炎23例,胃黏膜囊肿3例,胃下垂8例,阳性检出率9.49%,与胃镜诊断符合率93.9%,与病理诊断符合率为86.6%。结论充盈法胃十二指肠超声检查,对常见病具有较高的检出率,是理想的胃十二指肠检查方法。
Objective To investigate the diagnostic method and clinical value of gastroduodenal ultrasonography. Methods After oral administration of echo-assisted ultrasound-assisted agent to fill the gastric cavity, the follow-up analysis of 980 cases of gastroduodenal ultrasonography positive cases was made and the methodology and clinical value of gastroduodenal sonography were summarized. Results 93 cases of positive ultrasound diagnosis, including 25 cases of advanced gastric cancer, peptic ulcer in 18 cases, 5 cases of gastric polyps, lower esophageal (gastric fundus) cardia cancer in 8 cases, gastric parenchymal tumor in 6 cases, 23 cases of gastric atrophy, Gastric mucosal cyst in 3 cases, gastric ptosis in 8 cases, the positive detection rate was 9.49%, consistent with the diagnosis of gastroscopy 93.9%, consistent with the pathological diagnosis was 86.6%. Conclusion Filling method of gastroduodenal ultrasonography, the common disease with a high detection rate, is an ideal gastroduodenal examination.