CAJ | 학술논문

目的：探讨胃肠超声助显剂在上消化道常见疾病诊断中的应用价值。方法：对579例患者行超声及胃镜病理活检，对其结果进行一致性分析。结果：超声诊断正常、胃炎、消化性溃疡、胃癌、胃平滑肌瘤与胃镜活检结果一致性较好，Kappa值分别为0．768、0．913、0．925、0．939、1．000；而超声诊断胃息肉与胃镜活检比较一致性较差，Kappa 值为0．368。结论：超声检查对上消化道常见病如胃炎、消化性溃疡、胃癌、胃平滑肌瘤的诊断具有重要价值，可作为一种常规检查方法用于临床。
목적：탐토위장초성조현제재상소화도상견질병진단중적응용개치。방법：대579례환자행초성급위경병리활검，대기결과진행일치성분석。결과：초성진단정상、위염、소화성궤양、위암、위평활기류여위경활검결과일치성교호，Kappa치분별위0．768、0．913、0．925、0．939、1．000；이초성진단위식육여위경활검비교일치성교차，Kappa 치위0．368。결론：초성검사대상소화도상견병여위염、소화성궤양、위암、위평활기류적진단구유중요개치，가작위일충상규검사방법용우림상。
Objective To investigate the diagnostic value of the instant gastrointestinal ultrasound contrast agent in the digestive diseases. Methods Five hundred and seventy-nine patients received the examination of the color Doppler after they drinked the ultrasonic contrast agent. Then the results were analyzed by consistency analysis. Results There was high consistency between the two examinations in the normal control, gastritis, peptic ulcer, gastric cancer and gastric leiomyoma. The Kappa value was 0.768, 0.913, 0.925, 0.939 and 1.000, respectively. But the consistency in the gastric polyp was low , the Kappa value was 0.368. Conclusion The color Doppler through the instant gastrointestinal ultrasound contrast agent has high diagnostic value in the common diseases of the digestive system.