| 余慧珍,吴爽,李世红,汤雪瑶,陈西蜀,周鸿,周洋.胃充盈超声诊断食管裂孔疝术后吞咽困难[J].中国医学影像技术,2024,40(10):1538~1541 |
| 胃充盈超声诊断食管裂孔疝术后吞咽困难 |
| Gastric filling ultrasound for diagnosing dysphagiaafter surgical operation of hiatal hernia |
| 投稿时间：2024-03-12 修订日期：2024-06-06 |
| DOI：10.13929/j.issn.1003-3289.2024.10.017 |
| 中文关键词: 疝,食管裂孔 吞咽障碍 超声检查 |
| 英文关键词:hernia,hiatal deglutition disorders ultrasonography |
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| 中文摘要: |
| 目的 观察胃充盈超声(GFUS)诊断食管裂孔疝(HH)术后吞咽困难的价值。方法 回顾性纳入71例接受腹腔镜下食管裂孔修补+胃底折叠术的HH患者,根据术后Saeed评分将其分为吞咽困难组(n=23)与无吞咽困难组(n=48);比较组间GFUS参数,包括食管裂孔处食管内径(IDE)、腹段食管壁厚度(WTE)及折叠瓣处食管内径(FIDE),观察其诊断术后吞咽困难的价值。结果 吞咽困难组IDE及FIDE低于、而WTE高于无吞咽困难组(P均＜0.05);低IDE、高WTE均为HH术后吞咽困难的独立危险因素。IDE用于诊断HH术后吞咽困难的敏感度为82.64%、特异度为66.69%,其曲线下面积(AUC)为0.773,WTE分别为82.59%、68.73%及0.793,二者联合诊断则为88.89%、77.59%及0.843;联合诊断的AUC均高于单一IDE和WTE(Z=1.328、1.364,P=0.044、0.043)。结论 联合应用GFUS参数IDE和WTE诊断HH术后吞咽困难的价值较高。 |
| 英文摘要: |
| Objective To observe the value of gastric filling ultrasound (GFUS) for diagnosing dysphagia after surgical operation of hiatal hernia (HH). Methods Totally 71 HH patients who underwent laparoscopic HH repair and fundoplication surgery were retrospectively enrolled and divided into dysphagia group (n=23) and non dysphagia group (n=48) according to postoperative Saeed scores. GFUS parameters, including inner diameter of esophageal hiatus lumen (IDE), wall thickness of abdominal esophageal (WTE) and inner diameter of the esophageal lumen at the fold (FIDE) were compared between groups, and their value of diagnosing postoperative dysphagia were analyzed. Results In dysphagia group, IDE and FIDE were lower, while WTE was higher than those in non dysphagia group (all P＜0.05). Low IDE and high WTE were both independent risk factors of postoperative dysphagia in HH patients. The sensitivity, specificity and area under the curve (AUC) of IDE for diagnosing dysphagia after surgical operation of HH was 82.64%, 66.69% and 0.773, of WTE was 82.59%, 68.73% and 0.793, of their combination was 88.89%, 77.59% and 0.843, respectively. The AUC of the combination of IDE and WTE was higher than that of IDE and WTE alone (Z=1.328, 1.364, P=0.044, 0.043). Conclusion Combination of GFUS parameters IDE and WTE was valuable for diagnosing dysphagia after surgical operation of HH. |
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