孙英,王传英,李秀清.超声造影诊断食管胃底静脉曲张[J].中国医学影像技术,2010,26(4):712~714
超声造影诊断食管胃底静脉曲张
Contrast-enhanced ultrasonography in diagnosis of esophagogastric varices
投稿时间:2009-10-20  修订日期:2009-12-14
DOI:
中文关键词:  静脉曲张  超声检查,多普勒,彩色  造影剂  食管  
英文关键词:Varicose veins  Ultrasonograghy, Doppler, color  Contrast media  Esophagus  Stomach
基金项目:崇明县医学重点专科建设项目(CK2006-29)。
作者单位E-mail
孙英 崇明县庙镇人民医院超声科,上海 202153 CMSY1954@126.com 
王传英 崇明县庙镇人民医院超声科,上海 202153  
李秀清 崇明县庙镇人民医院内镜室,上海 202153  
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中文摘要:
      目的 通过比较彩色多普勒血流成像(CDFI)和超声造影成像技术(CEUS)对食管静脉曲张(EV)和胃底静脉曲张(GV)血流信号的显示,探讨CEUS在食管胃底静脉曲张(EGV)诊断中的应用价值。方法 在B型超声检查基础上,对23例EGV患者先后行CDFI和CEUS检查,比较二者对EV和GV血流信号的显示率。结果 CDFI和CEUS对EV的血流信号显示率分别为42.11%(8/19)、73.68%(14/19),对GV的血流信号显示率分别为76.47%(13/17)、94.12%(16/17)。CEUS对EV的血流信号显示效果明显优于CDFI(χ2=4.17,P<0.05),二者对GV的血流信号显示差异无统计学意义(χ2=1.33,P>0.05)。结论 CEUS可弥补CDFI对EGV血流信号检出的不足,明显提高EV的血流信号检出率。
英文摘要:
      Objective To explore the value of contrast-enhanced ultrasonography (CEUS) in diagnosis of esophagogastric varices (EGV) compared with color Doppler flow imaging (CDFI). Methods CDFI and CEUS were performed on 23 variceal patients based on the B mode ultrasound examination. The blood flow of esophageal varices (EV) or gastric varices (GV) displayed with CDFI and CEUS were compared. Results The flow signal demonstration rate of EV with CDFI and CEUS was 42.11% (8/19) and 73.68% (14/19), while that of GV with CDFI and CEUS was 76.47% (13/17) and 94.12% (16/17), respectively. CEUS displayed the flow signal of EV better than CDFI did (χ2=4.17, P<0.05), but the flow signal demonstration rate of GV was not significantly different (χ2=1.33, P>0.05). Conclusion CEUS can be used more extensively in clinic practice for diagnosis of EGV.
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