CAJ | 학술논문

目的：探讨超声造影对胃十二指肠溃疡的诊断价值。方法：回顾性总结胃十二指肠溃疡94例患者的临床资料。患者先口服超声显影剂充盈胃腔，然后对其食管下段、贲门、胃、十二指肠进行超声检查。根据手术及病理确诊结果，分析超声造影对胃十二指肠溃疡的诊断准确率，并总结胃十二指肠溃疡的超声造影图像特点。结果：超声造影结果与手术、病理检查结果符合率为88.64％，与手术、病理确诊结果无显著性差异（ P＞0.05）。胃十二指肠溃疡超声造影图像特点：胃肠壁局限性水肿增厚，壁中见“火山口样”凹陷，呈现典型的溃疡“龛影”声像。结论：超声造影对胃十二指肠溃疡具有较高的诊断价值，根据其典型的超声造影图像可对胃十二指肠溃疡进行快速、准确的诊断。
목적：탐토초성조영대위십이지장궤양적진단개치。방법：회고성총결위십이지장궤양94례환자적림상자료。환자선구복초성현영제충영위강，연후대기식관하단、분문、위、십이지장진행초성검사。근거수술급병리학진결과，분석초성조영대위십이지장궤양적진단준학솔，병총결위십이지장궤양적초성조영도상특점。결과：초성조영결과여수술、병리검사결과부합솔위88.64％，여수술、병리학진결과무현저성차이（ P＞0.05）。위십이지장궤양초성조영도상특점：위장벽국한성수종증후，벽중견“화산구양”요함，정현전형적궤양“감영”성상。결론：초성조영대위십이지장궤양구유교고적진단개치，근거기전형적초성조영도상가대위십이지장궤양진행쾌속、준학적진단。
Objective:To study the diagnostic value of ultrasonic imaging in patients with gastroduodenal ulcer.Methods:There was a retrospective analysis for 94 cases of gastric duodenal ulcer in our hospital , all patients had oral ultrasound contrast for filling the stomach cavity , and the lower esophagus , stomach and duodenum were examined with ultrasound .Depended on the results of surgery and pathological diagnosis , analysed the accuracy of contrast -enhanced ultrasound in the diagnosis of gastric duodenal ulcer , and summarized the characteristics of gastroduodenal ulcer in contrast -enhanced sonography image .Results:The coincidence rate of the ultrasonic imaging with surgical and pathological results was 88.64% (78/88),there was no significant difference ( P>0.05 ) .The characteristics of gastric duodenal ulcer in contrast -enhanced sonography image were as follows:localized edema and thickening of gastric wall;the wall was suchlike as the“crater” sag and presented the typical ulcer of“niche” on audio -visual .Conclusion:Contrast -enhanced ultrasound in the diagnosis of gastric duodenal ulcer have much high value .The typical contrast -enhanced ultrasound image can have a rapid and accurate diagnosis for gastric duodenal ulcer .