经口服超声造影剂联合彩色多普勒超声在胃疾病诊断中的应用价值

目的 探讨经口服超声造影剂联合彩色多普勒超声在胃疾病诊断中的应用价值.方法 对132例胃疾病患者口服＂胃窗声学造影剂＂后进行彩色多普勒超声仪检测,以80例健康人作为对照,检测其胃壁超声声像及胃壁厚度.并将病例组超声检测结果与病理诊断、胃镜诊断结果进行比较分析.结果 超声结果显示病例组较正常组胃壁有不同程度的增厚,超声诊断出胃溃疡、胃癌、食道贲门癌、胃腺瘤、胃平滑肌瘤、胃间质瘤和胃淋巴瘤患者共129例,诊断符合率达97.73%,与胃镜诊断结果相比,无显著差异（P〉0.05）.结论 经口服超声造影剂联合彩色多普勒超声诊断胃部疾病灵活简便,无痛苦无创伤,值得临床推广应用.

Application value of oral contrast agent combined with color Doppler ultrasonography in the diagnosis of gastric diseases

Objective To evaluate clinical value of oral ultrasonic contrast agent combined with color Doppler ultra-sonography in the diagnosis of gastric diseases. Methods 132 cases of patients with gastric disease were detected by color Doppler ultrasound after taking with ＂oral ultrasonic contrast agent＂. 80 normal cases were set as control group. The ultrasonic test results of patients group were compared and with the pathological diagnosis and Gastroscopy results. Results Ultrasound results showed that patients group has a different degree of thickening of gastric wall compared with normal group. A total of 129 cases of gastric ulcer,gastric cancer, esophagus cancer, gastric adenoma, leiomyoma of the stomach, gastric stromal tumor and gastric lymphoma were diagnosed with ultrasonography. The accuracy of gastric contrast uhrasonography was 97. 73% in total,which has no significant differences compared with Gastroscopy results （P〉0.05）. Conclusion Diagnosis of gastric diseases by oral ultrasonic contrast agent combined with color Doppler uhrasonography is flexible,simple,painless and non-invasive. It is worthy of clinical application.