何家春,李秀兰,祝远芳,郭瑜林,孙晓枫.B超诊断上消化道梗阻性疾病及与X线钡餐检查对比研究[J].中国医学影像技术,1998,14(11):840~842
B超诊断上消化道梗阻性疾病及与X线钡餐检查对比研究
B mode Ultrasonic Diagnosis of Upper Digestive Obstructive Disease and its Comparative Study with X ray Barium Meal Examination
投稿时间:1998-02-15  
DOI:
中文关键词:  B超  上消化道梗阻  诊断
英文关键词:B  mode  ultrasound  Upper  digestive  obstruction  Diagnosis
基金项目:
作者单位
何家春 湖北省潜江市江汉石油管理局中心医院 
李秀兰 湖北省潜江市江汉石油管理局中心医院 
祝远芳 湖北省潜江市江汉石油管理局中心医院 
郭瑜林 湖北省潜江市江汉石油管理局中心医院 
孙晓枫 湖北省潜江市江汉石油管理局中心医院 
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中文摘要:
      目的:探讨B超诊断上消化道梗阻性疾病的临床价值并与X线钡餐检查(GI)比较。方法:B超检查45例, GI检查31例, 全部经手术病理证实。结果:B超判断有无梗阻符合率95.5%、特异性97.8%、敏感性97.8%, GI分别为90.3%、100.0%及90.3%(P>0.05).B超判断梗阻部位符合率为95.5%, GI为96.4%(P>0.05).在判断有无梗阻及梗阻部位方面两者准确性相近。B超对梗阻原因符合率为82.2%, GI为51.6%(P<0.01).结论:B超同样是诊断上消化道梗阻性疾病的有效手段, 病因诊断优于GI, 且安全、无创、重复性强, 对于儿童病例更具优越性。
英文摘要:
      Purpose:To investigate the clinical value of B mode ultrasound in the diagnosis of upper digestive obstructive disease and compare with X ray barium meal examination (GI) Methods:45 cases of patients with upper digestive obstructive disease were examined by B mode ultrasound, among which 31 cases were also examined by GI.All cases were confirmed by surgery and pathology.Results:The coincidence rate、 the specificity and the sensitivity of ultrasonic diagnosis of whether or not digestive obstructions were 95.5%、 97.8% and 97.8% respectively; there were 90.3%、 100% and 90.3% of GI’s respectively ( P >0.05). The coincidence rate of obstructive sites of ultrasonic diagnosis was 95.5%, it was 96.4% of GI’s( P >0.05); and the accuracy of both methods was similar in the diagnosis of whether or not obstruction and obstructive sites. The coincidence rate of obstructive cause of ultrasonic diagnosis was higher than GI’s (82.2% vs 51.6%, P <0.01).Conclusion:B mode ultrasound also is an effective means for the diagnosis of upper digestive obstructive diseases, the etiological diagnosis is better than GI. It is safe、 no wound、 high repetition and better suited for the cases of children.
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