彩色多普勒胃肠超声造影对胃食管反流病的临床诊断价值Clinical Diagnostic Value of Color Doppler Contrast-enhanced Gastrointestinal Ultrasound in Gastro Esophageal Reflux Disease
喻萍一,谷颖,谢瑾
YU Pingyi,GU Ying,XIE Jin
摘要(Abstract):
目的:探讨彩色多普勒胃肠超声造影在胃食管反流病(GERD)临床诊断中的应用价值。方法:选择确诊GERD的48例患者作为研究组,同期健康体检的48例健康者作为对照组;研究对象均接受彩色多普勒胃肠超声造影检查,记录并比较5 min内胃食管反流次数和反流时间。结果:研究组患者5 min内胃食管反流次数和反流时间均明显多于对照组,差异有高度统计学意义(P<0.01);研究组患者病理性反流检出率明显高于对照组健康者,差异有高度统计学意义(P<0.01),且对照组健康者均为生理性反流。结论:彩色多普勒胃肠超声造影是一种较为理想的GERD诊断方法,操作简单,可作为GERD筛查的首选方法。
Objective: To investigate the diagnostic value of color Doppler contrast-enhanced gastrointestinal ultrasound in gastro esophageal reflux disease(GERD).Methods: 48 patients with GERD were selected as the experiment group,and 48 healthy subjects were selected as the control group.Both groups underwent color Doppler contrast-enhanced gastrointestinal ultrasound to record and compare the number and time of reflux within 5 min.Results: The number of gastroesophageal reflux and reflux time in the experiment group were significantly higher than those in the control group within 5 min,differences were highly statistically significant(P<0.01).The pathological reflux detection rate in the experiment group was significantly higher than that in the control group,the difference was highly statistically significant(P<0.01),and healthy subjects in the control group were all physiological reflux.Conclusion: color Doppler contrast-enhanced gastrointestinal ultrasound is an ideal GERD diagnostic method,which is simple to operate and can be used as the preferred method for GERD screening.
关键词(KeyWords):
胃食管反流;超声检查,多普勒,彩色;诊断;造影;筛查
gastro esophageal reflux disease;color,ultrasound,Doppler;diagnosis;radiography;screening
基金项目(Foundation):
作者(Author):
喻萍一,谷颖,谢瑾
YU Pingyi,GU Ying,XIE Jin
DOI: 10.19367/j.cnki.1000-2707.2019.08.023
参考文献(References):
- [1] ROMAN S,GYAWALI C P,SAVARINO E,et al.Ambulatory reflux monitoring for diagnosis of gastro-esophageal reflux disease:update of the Porto consensus and recommendations from an international consensus group[J].Neurogastroenterol Motil,2017,29(24-28):e13067.
- [2] 张玲,邹多武.胃食管反流病的流行病学及危险因素[J].临床荟萃,2017,32(1):1-4.
- [3] 牛巍巍,尹凤荣.胃食管反流病诊断技术进展[J].临床荟萃,2017,32(1):13-16;21.
- [4] 梁硕,孙小杰.胃肠超声造影在胃十二指肠疾病中的诊断价值[J].中国实用医药,2019,14(5):59-61.
- [5] 曾宪辉,郭子玉,高素芳,等.胃肠超声造影诊断胃食管反流病的可行性研究[J].中国超声医学杂志,2014,30(1):81-83.
- [6] 揭苏平,黄海华,陈东昀.胃食管反流病患者食管外症状的发生率及危险因素的临床研究[J].中国当代医药,2017,24(30):18-20.
- [7] 屈坤鹏,成晓舟.我国部分地区胃食管反流病患病率的Meta分析[J].中华胃食管反流病电子杂志,2015,2(1):34-44.
- [8] TALLEY N J,LAURITSEN K,TUNTURI-HIHNALA H,et al.Esomeprazole 20 mg maintains symptom control in endoscopy-negative gastro-oesophageal reflux disease:a controlled trial of 'on-demand' therapy for 6 months[J].Aliment Pharmacol Ther,2015,15(3):347-354.
- [9] 刘云,于洪波.胃食管反流病发病机制及治疗的研究进展[J].中国实当代医药,2019,26(6):23-25.
- [10]祁崇斌,牛小平.胃食管反流病发生的危险因素及治疗进展[J].沈阳医学院学报,2018,20(4):355-360.
- [11]石榴,张军.胃食管反流病的检测方法与联合应用的研究进展[J].中华消化杂志,2016,36(4):282-285.
- [12]游婷,王雯.胃食管反流病内镜治疗的研究进展[J].中华消化内镜杂志,2017,34(2):145-148.
- [13]张敏.非糜烂性反流病与反流性食管炎的临床特征[J].西藏医药,2018,39(4):57-58.
- [14]高素芳,郭子玉,曾宪辉,等.胃食管超声造影、胃镜、X线钡餐造影对胃食管反流病诊断的对比研究[J].肿瘤影像学,2016,25(4):341-344.
- [15]冯轶,陈琛,冉权芳,等.麻醉胃镜的危险因素及防范措施[J].现代医药卫生,2016,32 (24) :3848-3850.
- [16]江泠泠,廖江涛.胃超声造影检查在上消化道疾病诊断中的优势及不足[J].当代医学,2019,25(10):115-117.
- [17]邵丽珠,吕双红,胡芝娥.超声在胃十二指肠球部疾病诊断中的临床应用[J].中国医疗器械信息,2016,22(10):85-86.
- [18]伍燕,郭洪礼,张凌燕.胃肠超声造影对胃食管反流病的诊断价值分析[J].中国中西医结合消化杂志,2017,25(3):219-222.
- [19]姜艳丽,苏云.胃肠超声造影用于胃食管反流病中的可行性[J].临床医药文献电子杂志,2016,3(47):9425.
文章评论(Comment):
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- 胃食管反流
- 超声检查,多普勒,彩色
- 诊断
- 造影
- 筛查
gastro esophageal reflux disease - color,ultrasound,Doppler
- diagnosis
- radiography
- screening