超声在胃食管反流病因诊断中的应用研究-影像医学与核医学专业论文.docxVIP

宁夏医科大 宁夏医科大学硕士研究生学位论文 中文摘要 2 2 关键词 超声检查，胃食管反流病，His 角，腹段食管 宁夏医科大 宁夏医科大学硕士研究生学位论文 英文摘要 PAGE PAGE 5 Ultrasound Applied in Etiological Diagnosis of Gastro Esophageal Reflux Disease Abstract Objective To investigate the value of ultrasonography in etiological diagnosis of gastro esophageal reflux disease by the measurement of His angle and the length of abdominal esophagus. Methods 60 patients with gastro esophageal reflux disease (disease group) and 60 healthy adults (control group) underwent Contrasto-enhanced ultrasono-graphy.On the day of the inspection,the patients should be fasted, and then drank about 500-600ml oral ultrasonic contrast agent five minutes before received the ultrasonographic examination.After the outline of the stomach was displayed, then we focus our observation on the gastro esophageal junction. Freeze the image until the image display legible.Measure the His angle and the length of abdominal esophagus respectively. The method to measure the His angle is drawing a parallel line along the esophagus long axis,then drawing a tangent along the fundus of stomach intersecting with the esophagus long axis.This angle is His angle. Measuring the length of abdominal esophagus is to find the esophageal hiatus and cardia notch.The length of abdominal esophagus is the distance between the esophageal hiatus and cardia notch. Results There was statistical significance of the His angle and the length of abdominal esophagus between the gastro esophageal reflux disease group and the healthy adult group (P0.05).The His angle of the gastro esophageal reflux disease group was significantly bigger than the healthy adult group.The length of abdominal esophagus was significantly shorter than the control group.The scope of the His angle and the length of abdominal esophagus of the disease group:83.0+9.1°,2.35+0.24cm,the scope of gastro esophageal reflux disease of the control group73.2+9.3°、2.50+0.21cm. Conclusions The ultrasound can show the anatomical structure o