自然或空腹状态下胃显示方法及其常见病变超声表现.docVIP

自然或空腹状态下胃显示方法及其常见病变超声表现 　　[摘要] 目的 探讨自然或空腹状态下胃的显示方法,提高超声对空腹状态下胃常见病变的识别能力。方法 ①采取剑突下左肋缘斜切面、剑突下横切面、右肋缘垂直切面,并充分利用肝、胆、脾、胰腺等自然声窗的对照作用,全面观察食道腹段、贲门胃底部、胃小弯、胃窦与幽门及十二指肠球部,从胃壁厚度、柔韧度、连续性、贲门与幽门大小、胃壁蠕动等情况。②将空腹状态下所发现的胃溃疡、胃十二指肠穿孔、胃癌等病变的声像图特征进行分析、总结。结果 空腹状态下超声检查胃120例,其中,50例为正常胃,典型胃溃疡20例,胃十二指肠穿孔27例,胃癌21例,十二指肠球部腺癌1例,胃平滑肌瘤1例,共计70例胃十二指肠病变,均经胃镜或手术病理证实。结论 研究空腹状态胃及其常见病变的超声检查方法,有利于发现病变,提高胃部病变的检出率。 　　[关键词] 胃; 超声检查; 常规 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1673-9701(2010)11-72-03 　　 　　The Ultrasonic Images of Normal or Morbid Stomach in Limosis or Spontaneousness 　　WANG Huibao LIU Bailing 　　Spaceflight Hospital of Shanxi Province,Xi’an 710025,China 　　 　　[Abstract] ObjectiveTo elevate the discernment of the familiar lesions by studying the ultrasonic images of normal or morbid stomach in limosis or spontaneousness. MethodsStomach is observed from cardia to pylorus by means of the contrast of the ultrasound window of liver,cholecyst,spleen and pancrease,and three important sections-the section along left rib edge,the section under xiphoid,and the section in upright to right rib edge. Many contents,including the thickness,flexility,continuity,activity of gastric wall and diameter of cardia or pylorus,are assessed comprehensively. In this way,the standard images of all parts of normal stomach are established,and the familiar lesions of stomach in limosis or spontaneousness are analyzed. ResultsOf the 120 cases of gastric sonograms,50 were normal,70 gastric pathological changes,including 20 gastric ulcer,27 gastroduodenal perforation,21 gastric carcinoma,1 leiomyoma and 1 duodenal carcinoma were detected by sonography and proved by gastroscopy or surgical pathology. ConclusionIt will redound to detect gastric lesions,especially the perforation of stomach or duodenum and gastric carcinoma,applying routine sonography to study the images of normal or morbid stomach in limosis or spontaneousness. 　　[Key words]Stomach; Sonography; Routine 　　 　　胃十二指肠疾病常见、多发,临床上首选胃镜或钡透检查,但二者往往不易被病人所接受,造成病情延误。超声检查便