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目的 :探讨十二指肠球后溃疡的超声特点、检查及诊断方法与临床应用价值。方法 :回顾分析 3 90 0 0余例胃十二指肠超声检查病人 ,5 7例超声诊断为十二指肠球后溃疡的声图像特征、检查方法、注意事项。结果 :5 7例超声诊断十二指肠球后溃疡病人 ,48例经胃镜证实 ,9例不宜做内镜检查的经X线钡餐造影及治疗后随访检查确诊。超声图像主要特征表现为 :胃内潴留物、肠腔狭窄、肠壁增厚水肿、不全梗阻、与周围组织粘连及动力学的改变。结论 :超声能准确的反映溃疡的大小、病变的程度及与周围组织的关系 ,在伴有梗阻情况下更能体现超声检查的优势 ,应该作为临床的一种较好选择
Objective: To investigate the ultrasound features, examination and diagnosis of duodenal ulcer and its clinical value. Methods: A retrospective analysis of more than 3 090 cases of gastroduodenoscopy in patients with ultrasound, 57 cases of ultrasound diagnosis of duodenal ulcer after the acoustic image features, examination methods, precautions. Results: Fifty-seven cases of post-duodenal ulcer were diagnosed by ultrasonography. Forty-eight cases were confirmed by endoscopy. Nine cases were diagnosed by endoscopic X-ray barium angiography and follow-up examination. The main features of ultrasound images are: gastric retention, intestinal stenosis, thickening and edema of the intestinal wall, incomplete obstruction, adhesions with the surrounding tissue and dynamic changes. Conclusion: Ultrasound can accurately reflect the size of the ulcer, the extent of the lesion and the relationship with the surrounding tissue in the case of obstruction with better reflect the advantages of ultrasound should be used as a good clinical choice