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胃底及贲门区静脉曲张的彩色多普勒声像图表现
引用本文:夏建国,李凤华,朱彩霞,李红丽,方华,许桂英,唐韵. 胃底及贲门区静脉曲张的彩色多普勒声像图表现[J]. 中国医学影像技术, 2005, 21(6): 914-916
作者姓名:夏建国  李凤华  朱彩霞  李红丽  方华  许桂英  唐韵
作者单位:上海第二医科大学附属仁济医院超声科,上海,200127
摘    要:目的探讨胃底及贲门区静脉曲张的彩色多普勒超声表现及其诊断价值.方法对113例怀疑有食管胃底静脉曲张的患者进行内镜及经腹部超声检查,其中胃镜证实有静脉曲张78例,无静脉曲张35例.结果超声诊断的敏感度为65.4%(51/78),特异度为97.1%(34/35),正确率75.2%(85/113).静脉曲张组贲门前后径(1.52±0.21)cm,胃底部胃壁厚度(1.21±0.40)cm,曲张静脉内的平均流速为(15.92±3.14)cm/s.结论超声诊断对贲门胃底区静脉曲张的显像具有较高的应用价值.

关 键 词:胃底  贲门区  超声检查  静脉曲张
文章编号:1003-3289(2005)06-0914-03
收稿时间:2005-01-17
修稿时间:2005-01-17

Color Doppler ultrasonographic manifestation of varix in the gastric fundus and cardiac region
XIA Jian-guo,LI Feng-hu,ZHU Cai-xi,LI Hong-li,FANG Hu,XU Gui-ying and TANG Yun. Color Doppler ultrasonographic manifestation of varix in the gastric fundus and cardiac region[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(6): 914-916
Authors:XIA Jian-guo  LI Feng-hu  ZHU Cai-xi  LI Hong-li  FANG Hu  XU Gui-ying  TANG Yun
Affiliation:Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China;Department of Ultrasound, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China
Abstract:Objective To investigate the ultrasonographic characteristics and diagnostic value in varix of the cardiac region and gastric fundus. Methods A total of 113 patients with dubious esophageal and/or gastric fundus varix were examined by endoscopy and ultrasonography. Seventy-eight patients with varix and 35 patients without varix were confirmed by endoscopy. Results The sensitivity, specificity, accuracy rate were 65.4%, 97.1%, 75.2% in the ultrasonographic diagnosis, respectively. The anterior-posterior diameter of cardiac region was (1.52±0.21) cm, the thickness of gastric fundus was (1.21±0.40) cm. The mean velocity in varix was (15.92±3.14) cm/s. Conclusion Ultrasonography has important clinical value in the diagnosis of cardiac part and gastric fundus varicosity.
Keywords:Gastric fundus  Cardiac region  Ultrasonography  Varix
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