胃腸充盈法超聲造影用于體檢人群胃、十二指腸疾病篩查的作用研究

【摘要】目的：探究胃腸充盈法超聲造影用于體檢人群胃、十二指腸疾病篩查中的作用。方法：選取2022年4月—2023年10月該院100例進行胃、十二指腸疾病篩查的體檢人群，均進行胃腸充盈法超聲造影與胃鏡檢查。對疑似病變，取病理標本進行組織病理學診斷，確診75例。結果：病理活檢結果顯示，慢性胃炎38例（50.67%），胃潰瘍5例（6.67%），十二指腸球炎8例（10.67%），十二指腸潰瘍9例（12.00%），胃癌8例（10.67%），胃惡性淋巴瘤7例（9.33%）。胃腸充盈法超聲造影檢查慢性胃炎、胃潰瘍、十二指腸球炎及十二指腸潰瘍檢出率分別為97.37%、100.00%、100.00%及100.00%，胃鏡檢查上述良性疾病檢出率分別為76.32%、60.00%、62.50%及55.56%，兩種檢查方法慢性胃炎和十二指腸潰瘍檢出率對比差異顯著（P<0.05）；兩種檢查方法胃潰瘍和十二指腸球炎檢出率對比差異不大（P>0.05）。胃腸充盈法超聲造影檢查胃癌（100.00%）和胃惡性淋巴瘤（100.00%）檢出率略高于胃鏡檢查（75.00%和71.43%），但差異不具有統計學意義（P>0.05）。結論：胃腸充盈法超聲造影用于體檢人群胃、十二指腸疾病篩查中，可提高胃、十二指腸疾病的檢出率，臨床應用價值顯著，可繼續推廣及應用。

【關鍵詞】胃腸充盈法超聲造影；體檢人群；胃十二指腸疾病；疾病篩查

Study on the role of gastrointestinal filling contrast-enhanced ultrasound in screening gastric and duodenal diseases in physical examination population

JING Qiuju， WANG Hailong

Jiuquan People’s Hospital of Gansu， Jiuquan， Gansu 735000， China

【Abstract】Objective：To explore the role of gastrointestinal filling contrast-enhanced ultrasound in screening gastric and duodenal diseases in physical examination population.Methods：From April 2022 to October 2023，100 individuals who were screened for gastric and duodenal diseases in our hospital were selected and underwent gastrointestinal filling contrast-enhanced ultrasound and gastroscopy examinations.The suspected lesions were diagnosed by histopathological specimens and 75 cases were confirmed.Results：Pathological biopsy results showed that there were 38 cases （50.67%） of chronic gastritis，5 cases （6.67%） of gastric ulcer，8 cases （10.67%） of duodenitis，9 cases （12.00%） of duodenal ulcer，8 cases （10.67%） of gastric cancer，and 7 cases （9.33%） of gastric malignant lymphoma. The detection rates of chronic gastritis，gastric ulcer，duodenitis and duodenal ulcer by gastrointestinal filling contrast-enhanced ultrasound were 97.37%，100.00%，100.00% and 100.00%，respectively，and the detection rates of above-mentioned benign diseases by gastroscopy were 76.32%，60.00%，62.50% and 55.56%，respectively.There was a significant difference in the detection rates of chronic gastritis and duodenal ulcer between the two examination methods （P<0.05）；There was no significant difference in the detection rates of gastric ulcer and duodenitis between the two examination methods （P>0.05）.The detection rates of gastric cancer （100.00%） and gastric malignant lymphoma （100.00%） by gastrointestinal filling contrast-enhanced ultrasound were slightly higher than those by gastroscopy （75.00% and 71.43%），but the differences were not statistically significant （P>0.05）.Conclusion：Gastrointestinal filling contrast-enhanced ultrasound can improve the detection rates of gastric and duodenal diseases in physical examination population，and has significant clinical application value，which can be further promoted and applied.

【Key Words】Gastrointestinal filling method contrast-enhanced ultrasound； People undergoing physical examination； Gastroduodenal disease； Disease screening

腸道是人體最大的消化器官，主要負責吸收營養、排出人體代謝廢物。據統計，全球每年死于腸胃疾病的人數在1000萬以上，中國有1/5的人口患有腸胃病，居世界首位[1]。胃、十二指腸疾病是比較常見的一種疾病，主要是胃和十二指腸對食物進行消化和吸收功能受到損害所致[2]。胃、十二指腸潰瘍對患者的胃腸健康和消……