超声胃肠显影对胃十二指肠溃疡穿孔的诊断价值

目的探讨胃十二指肠溃疡穿孔的胃肠显影声像特点及其临床价值.方法 22例术前X-线检查无膈下游离气体影的患者,服用胃肠声学显影剂后扫查,并与术后结果做对照.结果十二脂肠球部溃疡13例,胃溃疡9例;超声表现类型有:腹腔积液 胃潴留占36%(8/22)、腹腔积液 高回声模糊团块占23%(5/22)、腹腔积液 胃潴留 高回声模糊团块占10%(2/22)、胃潴留 高回声模糊团块占10%(2/22)、腹腔积液占18%(4/22)、右肾前间隙增宽伴高回声团块仅1例,具有两项或两项以上超声特征者占77%(17/22).结论超声胃肠显影对胃十二指肠溃疡穿孔有较高的临床参考价值.     

胃肠超声造影诊断胃十二指肠疾病的价值分析

选取我院2014年8月~2015年7月收治的148例胃十二指肠疾病患者。均行行胃镜检查及胃肠道超声造影检查,对比两种方法的检查结果。应用胃肠道超声造影能够清晰地显示出病变的位置、层次以及周围情况,对于胃及十二指肠溃疡等良性病变的诊断符合率差异小,对于胃部肿瘤等恶性病变的诊断率对比胃镜检查结果仍无统计学意义(P0.05)。胃肠道超声检查具有操作便捷、无创、安全等特点,对于胃镜和X线钡餐检查而言是非常有效的辅助检查方式,在临床中适合应用于胃十二指肠疾病的筛查。     

对胃肠超声造影诊断胃十二指肠疾病的临床应用价值进行分析

目的:探析胃十二指肠疾病采用胃肠超声造影技术诊断后的临床应用价值.方法:将我院2018年1月—2019年12月期间收治的58疑似胃十二指肠疾病患者作为此次研究的主要对象,给予所有研究对象均采用胃肠超声造影技术进行诊断,探析其对胃十二指肠疾病的临床诊断应用价值.结果:经临床病理诊断后,58例胃十二指肠疾病中主要包括:20...     

胃肠超声造影对胃十二指肠占位性病变诊断中的应用

目的:分析胃肠超声造影对胃十二指肠占位性病变诊断中的应用。方法:选取我院2018年11月-2019年12月收治的胃十二指肠占位性病变患者65例,均采用胃镜检查和胃肠超声造影检查,再对比两种方式的检查结果。结果:胃肠超声造影检查符合率为95.38%,高于胃镜检查的符合率84.62%(P<0.05)。结论:胃肠超声造影对胃十二指肠占位性病变的诊断有重要意义。     

口服胃肠超声造影对胃十二指肠疾病的诊断价值

目的:探讨口服胃肠超声造影剂在胃十二指肠疾病诊断中的诊断价值。方法:选取2017年9月至2018年11月在我院收治的198例疑似胃十二指肠疾病的受检者为研究对象,对所有患者实施口服胃肠超声造影剂检查,其中对阳性发现者开展胃镜、胃镜下活检,金标准为病理结果,在此基础上来判断口服胃肠造影剂检查的临床诊断准确性。结果:口服胃肠超声造影剂检查中总准确率92.69%。结论:口服胃肠超声造影剂检查在胃十二指肠疾病中有良好的诊断价值,适合于难以耐受胃镜检查或胃镜检查有恐惧患者,值得临床推广应用。     

胃肠超声造影筛查胃十二指肠疾病的应用价值

目的:探讨胃肠超声造影筛查胃十二指肠疾病的应用价值。方法:选取2019年8月至2021年3月我院收治的胃十二指肠患者55例,所有患者均实施胃镜筛查、胃肠超声造影筛查。病理检查结果作为金标准。比较超声造影筛查和胃镜筛查结果、筛查项目、检测依从性。结果:超声造影筛查和胃镜筛查结果无明显差异(P>0.05);超声造影筛查和胃镜筛查慢性胃炎、胃溃疡、十二指肠溃疡、十二指肠球炎结果无明显差异(P>0.05);胃肠超声造影筛查依从性高于胃镜筛查(P<0.05)。结论:筛查胃十二指肠疾病过程当中,胃肠超声造影筛查效果理想,临床上应当进一步推广应用。     

胃肠超声造影在胃十二指肠占位性病变诊断中的应用

目的:胃肠超声造影在胃十二指肠占位性病变诊断中的应用进行分析.方法:选取2018年3月—2019年3月在我院就诊的100例患者作为研究对象,随机分为对照组和研究组各50例,其中对照组采用胃镜检查,研究组采用胃肠超声造影检查,对比分析两组检查结果.结果:研究组采用胃肠超声造影检查效果与对照组采用胃镜检查效果不分伯仲,两组...     

超声造影与胃镜检查诊断胃疑似胃十二指肠肿瘤疾病的临床价值及效能对比

目的:探究胃疑似胃十二指肠肿瘤疾病患者采用胃肠充盈超声造影、胃镜检查的临床价值。方法:选取山丹县新城区中医医院2020年10月—2022年4月收治的71例胃疑似胃十二指肠肿瘤疾病患者为研究对象,以病理检验结果为金标准,所有患者均进行胃肠充盈超声造影、胃镜检查,观察两种检查方法检出结果与诊断效能。结果:71例胃疑似胃十二指肠肿瘤疾病患者病理检验结果显示胃十二指肠肿瘤患者64例(90.14%),非胃十二指肠肿瘤患者7例(9.86%)。胃十二指肠肿瘤患者均为良性,包括腺瘤性息肉21例,平滑肌瘤20例,间质瘤23例;胃镜检查阳性检出率、灵敏度、特异度、阳性预测值、阴性预测值、准确率分别为87.32%、96.88%、100.00%、100.00%、77.78%、97.18%,稍高于胃肠充盈造影诊断的85.92%、93.75%、85.71%、98.36%、60.00%、92.96%,差异无统计学意义(P>0.05);胃肠充盈造影检查腺瘤性息肉、平滑肌瘤、间质瘤的检出率以及总检出率分别为95.24%、95.00%、91.30%、93.75%,稍低于胃镜检查的95.24%、100.00%、95....     

胃十二指肠溃疡穿孔的CT诊断价值

胃十二指肠溃疡急性穿孔是临床常见的急腹症之一 ,临床表现一般较典型 ,影像学诊断既往主要依靠Ｘ线检查 ,有关ＣＴ诊断方面报道不多 ,我院自１９９６年３月至２０００年１月经手术、病理证实的６０例胃十二指肠溃疡穿孔病例 ,术前ＣＴ检查１６例 ,现报告如下。１临床资料１．１一般资料本组共１６例 ,男１５例 ,女１例 ,年龄２３～７４岁 ,平均４６．８岁。主要表现为上腹痛 ,腹膜炎体征。病程１小时至３天 ,即往有胃病史１２例 ,全部病例ＣＴ检查前均有Ｘ线检查资料 ,误诊为急性胆囊炎、胆囊结石１例 ,合并甲亢１例。１．２手术方法胃大部…     

小儿胃十二指肠溃疡58例超声诊断分析

随着小儿纤维胃镜技术的开展,小儿消化性溃疡诊断率大为提高,但由于其在基层医院尚未能普及,且儿童对此有恐慌的心理,难以配合。为弥补这方面不足,我院于１９９２年开始对小儿胃十二指肠溃疡的超声检查作了一些摸索,认为Ｂ型超声显像法,用于诊断本病是可行的,今将经胃镜、Ｘ线对照的５８例小儿胃十二指溃疡超声确诊、误诊及漏诊的完全资料给予分析。 资料与方法 本文收集了１９９２年１月至１９９９年６月我院儿科门诊疑有胃十二指肠疾患的患儿４５２例,进行了胃十二指肠超声检查,检出胃溃疡８例,十二指肠溃疡４９例,复合性溃疡…     

Molecular forms of gastrin in peptic ulcer: comparison of serum and tissue concentrations of G17 and G34 in gastric and duodenal ulcer subjects

We have studied the relationships between the main molecular forms of gastrin (G17 and G34) in the serum, antral and duodenal mucosa of duodenal (DU) and gastric (GU) ulcer patients. Fasting serum G17 was similar in both DU and GU (about 6 pmol/l) and in both groups increased about three-fold with feeding. In contrast, basal serum G34 was significantly higher in GU (29 pmol/l) than in DU (12 pmol/l) and the peak post prandial increase over basal of G34 was also higher in GU (57 pmol/l) compared with DU (10 pmol/l). In sharp contrast, in the same groups of DU and GU patients mean total antral gastrin concentrations were similar (about 12 nmol/g), and in both groups 95% of antral gastrin was G17, most of the remainder being G34. In both groups total duodenal gastrin concentrations were about 20% those in antral mucosa and about 70% of duodenal gastrin was attributable to G34. The higher serum G34 in GU could therefore be explained by increased secretion of duodenal gastrin, but further work is needed to examine whether there might also be preferential secretion of antral G34 in GU, or a difference in the metabolism (or volume of distribution) of gastrin variants in GU and DU.     

Molecular forms of gastrin in peptic ulcer: comparison of serum and tissue concentrations of G17 and G34 in gastric and duodenal ulcer subjects

Abstract We have studied the relationships between the main molecular forms of gastrin (G17 and G34) in the serum, antral and duodenal mucosa of duodenal (DU) and gastric (GU) ulcer patients. Fasting serum G17 was similar in both DU and GU (about 6 pmol/1) and in both groups increased about three-fold with feeding. In contrast, basal serum G34 was significantly higher in GU (29 pmol/1) than in DU (12 pmol/1) and the peak post prandial increase over basal of G34 was also higher in GU (57 pmol/1) compared with DU (10 pmol/1). In sharp contrast, in the same groups of DU and GU patients mean total antral gastrin concentrations were similar (about 12 nmol/g), and in both groups 95% of antral gastrin was G17, most of the remainder being G34. In both groups total duodenal gastrin concentrations were about 20% those in antral mucosa and about 70% of duodenal gastrin was attributable to G34. The higher serum G34 in GU could therefore be explained by increased secretion of duodenal gastrin, but further work is needed to examine whether there might also be preferential secretion of antral G34 in GU, or a difference in the metabolism (or volume of distribution) of gastrin variants in GU and DU.     

Clinical investigation on coexisting of duodenal ulcer and gastric cancer in China

The aim of this study was to investigate the prevalence of coexistent duodenal ulcer and gastric cancer in China, then to explore the features of clinical manifestations, endoscopy, pathology and possible pathogenesis. A retrospective analysis has been made on medical records in Remin Hospital, Wuhan University, Hubei Province, China from January 1991 to December 2002. 37 cases of coexistent duodenal ulcer and gastric cancer were found. 24.3% (9/37) had previous history of duodenal ulcer. 81.0% (30/37) of them lack alarm symptoms or signs and 87.1% (27/31) had alleviation in abdominal pain by acid inhibitor. Duodenal ulcer was single in all cases with seven in A1 stage, three in A2 stage, one in H1 stage, one in H2 stage, seven in S1 stage and 18 in S2 stage. 89.2% (33/37) of concurrent gastric cancer were in the corpus and antrum, with 78.1% (29/37) of them belonging to Bormann type II and 87.1% (27/37) being moderately differentiated adenocarcinoma. 83.7% of patients (31/37) had positive rapid urease test. The coexisting gastric cancer in patients with duodenal ulcer is infrequent but not rare. Gastroscopy screening and routine follow-up are necessary for patients with duodenal ulcer. Helicobacter pylori may be important pathogen for it. Helicobacter pylori eradication is recommended in patients with duodenal ulcer to reduce the risk of contaminant gastric cancer.     

唾液腺超声评分联合核素显像对干燥综合征具有较高的诊断价值

目的  分析唾液腺超声评分联合核素显像参数对干燥综合征（SS）的诊断价值。方法  选取2018年1月~2021年12月本院收治的105例SS患者作为研究组,另选取同期105例有口干、眼干症状的非SS患者作为对照组。采用唾液腺超声检查和核素显像,观察两组患者超声图像、核素显像及唾液腺功能。采用ROC曲线分析超声评分联合核素显像对SS患者的诊断价值。结果  超声声像图显示,SS患者可见腮腺呈弥漫性病变,腮腺或颌下腺有1个或多个低回声结节;核素显像显示,SS患者可见双侧腮腺和颌下腺摄取功能明显降低,唾液腺对⁹⁹Tc^mO₄^-摄取减少,口腔⁹⁹Tc^mO₄^-浓聚更少,口服维生素C后未见明显浓聚,双侧腮腺和颌下腺呈持续上升。研究组颌下腺评分、腮腺评分及唾液腺超声评分均高于对照组（P < 0.05）,根据临床诊断为准制作ROC曲线,其中唾液腺超声总评分的诊断价值最高,其与颌下腺评分和腮腺评分的差异有统计学意义（P < 0.05）。研究组颌下腺、腮腺摄取指数和腺体排泄率水平均低于对照组（P < 0.05）,根据临床诊断为准制作ROC曲线,其中唾液腺超声评分联合核素显像的诊断价值最高,其与单独诊断比较,差异有统计学意义（P < 0.05）。结论  唾液腺超声评分联合核素显像对SS患者具有较高的诊断价值。     

Ultrasound demonstration of giant duodenal ulcer

Two cases of giant duodenal ulcer demonstrated by ultrasonography are described. The giant ulcer craters appeared as cystic structures on sonographic examination. The differential diagnosis and the role of ultrasound in the diagnosis of giant duodenal ulcer are discussed.     

致康胶囊治疗胃十二指肠溃疡出血的效果观察

目的探讨致康胶囊对胃十二指肠溃疡出血的治疗效果。方法将80例胃十二指肠溃疡出血患者随机分为治疗组（46例）和对照组（34例）,对照组予以泮托拉唑20mg静脉滴注,2次／d;治疗组则在上述治疗基础上加用致康胶囊每次1．2g口服,每天3次。疗程均为1周。结果治疗组总有效率为95．7％（44／46）;对照组为79．4％（27／34）,两组比较差异有统计学意义（X2=5．164,P〈0．05）。结论致康胶囊治疗胃十二指肠溃疡出血的效果较好,并且不良反应少。     

腹腔镜胃十二指肠穿孔修补术与开腹手术的临床疗效比较

目的 比较腹腔镜胃十二指肠溃疡穿孔修补术与开腹胃十二指肠溃疡穿孔修补术的疗效.方法 选取行胃十二指肠溃疡穿孔修补术的67例患者为研究对象,根据手术方式不同分为腹腔镜组(n=25)和开腹组(n=42).比较2组手术时间、术中失血量、胃肠道功能恢复时间、术后疼痛评分、术后住院时间、围术期并发症发生情况.结果 2组手术时间、...     

胃十二指肠溃疡穿孔腹腔镜修补术后随访分析

目的总结腹腔镜胃十二指肠溃疡穿孔修补术的治疗效果。方法应用腹腔镜对27例胃十二指肠溃疡急性穿孔的病人行穿孔修补术,分别于术后2、6、12月进行胃镜随访,观察溃疡修复、演变过程。结果27例腹腔镜下穿孔修补术均成功,无中转开腹和手术并发症及死亡。术后平均（8．41±1．16）d出院。术后行胃镜随访26例溃疡完全愈合,1例因幽门梗阻行胃大部切除术。结论腹腔镜胃十二指肠溃疡穿孔修补术,创伤小,恢复快,术后并发症少。     

Diagnostic value of ultrasound in duodenal stenosis

Radiology and endoscopy are usually used to diagnose stenosis of the duodenum, but the cause of the stenosis may still escape detection. Three pathologic processes — multiple duodenal polyps, duodenal wall cysts, and annular pancreas — are presented to demonstrate how ultrasound, under specific conditions, can provide decisive diagnostic information. The cause of the stenosis may be made accessible to sonographic study through administration of oral fluids and intravenous hyoscin-n-butylbromid (Buscopan^®).     

左氧氟沙星与克拉霉素为基础的三联疗法治疗十二指肠球部溃疡的对比研究

目的比较以左氧氟沙星与克拉霉素为基础的三联疗法对十二指肠球部溃疡（DU）合并幽门螺杆菌（Hp）感染的愈合率及Hp根除率。方法137例Hp阳性的DU（A1期）患者随机分为两组：左氧氟沙星组（A组）69例;克拉霉素组（B组）68例。A组：埃索关拉唑20mg＋阿莫西林1．0g,每天2次1：7服;左氧氟沙星0．5g,每天1次口服。B组：埃索美拉唑20mg＋阿莫西林1．0g＋克拉霉素0．5g,每天2次口服。连续7天,然后两组均继续给予埃索美拉唑20mg,每天1次口服,共21天。用药结束后1～2周再次对患者进行内镜及Hp检查,观察溃疡愈合及HP转阴情况。结果左氧氟沙星组溃疡愈合率为91．3％,克拉霉素组为89．7％,两组之间差异无统计学意义（P〉0．05）。左氧氟沙星组Hp清除率为91．3％,明显高于克拉霉素组的72．1％（P〈0．05）。B组不良反应发生率为17．7％,高于A组的7．2％,但两组间差异无统计学意义（P〉0．05）。两组费用一效果比分别为653．2元和1082．2元,A组远低于B组。结论以左氧氟沙星为基础的三联疗法治疗Hp阳性Du的愈合率与以克拉霉素为基础的三联疗法相似,但Hp清除率显著增加,不良反应发生明显减少且药物经济学效益更优。