CAJ | 학술논문

目的：探讨改良低张法肠系超声造影在老年小肠疾病患者检查中的应用价值。方法 A组为临床可疑28例小肠疾病患者和常规腹部超声检查可疑肠道肿瘤患者8例，行甘露醇法、低张法、改良低张法肠系超声造影对比。B组为37例经胃镜或X线钡餐造影确诊的十二指肠球部溃疡、息肉、降部憩室患者行饮水法、低张法、改良低张法肠系超声造影对比。结果 A组病灶检出从9例增加到12例，B组病灶检出率从13例提高到33例。改良低张法肠系超声造影比传统造影更加明显地消除肠道气体，更充分弛张肠腔，提高病灶检出率。结论改良低张法肠系超声造影可作为老年小肠疾病患者诊断的常规检查方法。
목적：탐토개량저장법장계초성조영재노년소장질병환자검사중적응용개치。방법 A조위림상가의28례소장질병환자화상규복부초성검사가의장도종류환자8례，행감로순법、저장법、개량저장법장계초성조영대비。B조위37례경위경혹X선패찬조영학진적십이지장구부궤양、식육、강부게실환자행음수법、저장법、개량저장법장계초성조영대비。결과 A조병조검출종9례증가도12례，B조병조검출솔종13례제고도33례。개량저장법장계초성조영비전통조영경가명현지소제장도기체，경충분이장장강，제고병조검출솔。결론개량저장법장계초성조영가작위노년소장질병환자진단적상규검사방법。
Objective To explore the application value of the modified hypotonic method of intestinal system contrast ultra-sonography in elder patients with small intestinal diseases .Methods Group A were 28 patients with small intestine disease and 8 patients who was found abdominal mass suspected source of intestinal tumors by routine abdominal ultrasound inspection .We con-trast the mannitol intestinal system contrast ultrasound with modified hypotonic method of intestinal system ultrasound contrast , and compare with gastrointestinal ,gastrointestinal barium meal contrast ,then contrast the results of pathology .Group B were 37 patients ,with definite diagnosis with duodenal ulcers ,polyps ,the descending part of the diverticulum ,who respectively treated with drinking water method and modified hypotonic method of intestinal system ultrasound contrast ,then carry the two methods into comparison .Results The nidus detection increase from 9 to 12 in group A ;the nidus detection increase from 13 to 33 in group B . The modified hypotonic method of intestinal system contrast ultrasonography ,which eliminate intestinal gas more obvious and relax the intestinal lumen more sufficient than conventional contrast ,can improve the nidus detection rate .Conclusion The modified hy-potonic method of intestinal system contrast ultrasonography could be as a routine inspection method for elder small intestinal dis-ease paitents .