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目的探讨口服胃肠超声造影检查在胃十二指肠疾病诊断中的临床价值。方法选取2013年9月至2016年9月广东省东莞市人民医院收治的200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检查,其中阳性发现者行胃镜检查和胃镜下病理活检,以病理检查结果为金标准。分析口服胃肠超声造影检查诊断正确率、特异性、漏诊率、误诊率、敏感性。结果口服胃肠超声造影检测在胃溃疡患者中诊断正确率为84.62%,胃炎100.00%,复合性溃疡80.00%,十二指肠球炎60.00%,十二指肠球部溃疡83.33%,胃癌81.82%,胃息肉85.71,黏膜下肿物90.00%。同时口服胃肠超声造影检测在胃十二指肠患者中敏感性、特异性、漏诊率、误诊率分别为98.63%、96.30%、1.37%、3.70%。结论口服胃肠超声造影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对胃镜检查有恐惧患者,但如果口服胃肠超声造影检查发现病变或有明显临床报警症状,仍建议进一步胃镜检查明确。
Objective To investigate the clinical value of oral gastrointestinal ultrasonography in the diagnosis of gastroduodenal diseases. Methods From September 2013 to September 2016, 200 cases of suspected gastroduodenal diseases admitted to Dongguan People’s Hospital of Guangdong Province were selected as subjects. All patients underwent oral gastrointestinal ultrasonography, of which positive findings Gastroscopy and endoscopy biopsy biopsy, pathological examination results as the gold standard. Analysis of oral gastrointestinal ultrasound contrast diagnostic accuracy, specificity, misdiagnosis rate, misdiagnosis rate, sensitivity. Results The diagnostic accuracy of oral gastrointestinal ultrasonography in patients with gastric ulcer was 84.62%, gastritis 100.00%, complex ulcer 80.00%, duodenal inflammation 60.00%, duodenal ulcer 83.33%, gastric cancer 81.82 %, Gastric polyps 85.71, submucosal tumor 90.00%. Meanwhile, the sensitivity, specificity, misdiagnosis rate and misdiagnosis rate of oral gastrointestinal ultrasonography in patients with gastroduodenal were 98.63%, 96.30%, 1.37% and 3.70% respectively. Conclusion Oral and gastrointestinal contrast echocardiography has a good diagnostic value in the treatment of gastroduodenal diseases and is suitable for patients who are refractory to gastroscopy or have fear of gastroscopy. However, if oral gastrointestinal ultrasonography is used to detect lesions or have obvious clinical Alarm symptoms, still recommended further gastroscopy clear.