胃肠超声造影诊断胃食管反流病可行性剖析.docVIP

胃肠超声造影诊断胃食管反流病可行性剖析 　　[摘要] 目的 评价胃肠超声造影诊断胃食管反流病的可行性分析，探讨其临床适用性。 方法 病例选择2012年8月～2014年9月于我院就诊65例的胃食管反流病患者作为试验组，另外选择同时期45例健康体检者作为对照组，所有研究对象均接受胃肠超声造影检查，观察并记录两组患者5min内的反流时间和反流次数。 结果 试验组患者在5min内反流时间为3s以上为63例，占96.9%，而对照组人群反流时间在3s以上有25例，占55.6%，按照反流时间两组病理性反流比较，差异具有统计学意义（x2=28.44，P0.05）；试验组患者在5min内反流次数在3次以上为45例，占69.2%，而对照组均在3次以上1例，占2.2%，按照反流次数两组病理性反流比较，差异具有统计学意义（x2=49.07，P0.05）。 结论 胃肠超声造影检查在诊断胃食管反流病有一定的诊断价值，且方便简单，可以作为GERD初筛方法之一，值得推荐使用。 　　[关键词] 胃肠超声造影；胃食管反流；诊断价值；筛查 　　[中图分类号] R816.5 [文献标识码] B [文章编号] 2095-0616（2015）11-160-03 　　[Abstract] Objective To analyze the gastrointestinal CEUS in diagnosis of gastroesophageal reflux disease. Methods 65 cases of gastroesophageal reflux were selected from August 2012 to September 2014 in our hospital as the test group， and another 45 cases of healthy people were selected as the control group at the same period， all patients underwent gastrointestinal ultrasound angiography， then observed and recorded the time of reflux and reflux episodes within 5min two groups of patients. Results The reflux time more than 3s within 5min in the test group patients were 63 cases， accounting for 96.9%， while the control group of people were 25 cases， accounting for 55.6%， the difference was statistically significant （x2=28.44， P0.05）； The reflux episodes more than three times within 5min of the experimental group patients were 45 cases， accounting for 69.2%， while the control group were 1 case， accounting for 2.2%， the difference was statistically significant （x2= 49.07， P0.05）. Conclusion Gastrointestinal CEUS in the diagnosis of gastroesophageal reflux disease has a certain diagnostic value， and convenient and simple， can be used as one of the primary screening method for GERD. 　　[Key words] Gastrointestinal CEUS； Gastroesophageal reflux； The diagnostic value； Screening 　　胃食管反流病（gastroesophageal reflux disease，GERD）指食管腔因过度接触胃液而引起的食管黏膜损伤的疾病，常出现在餐后一小时，主要表现为胃灼热、疼痛和反酸等[1]。临床上诊断胃食管反流病的方法很多，其中以胃镜为主，但是胃镜检查属于一种植入性器械检查，而且费用相对比较高[2]。而胃超声造影是一种方便简单的胃食管反流病检查方法之一[