CN107961036A - A kind of full radiography motility of stomach method of ultrasound - Google Patents

A kind of full radiography motility of stomach method of ultrasound Download PDF

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Publication number
CN107961036A
CN107961036A CN201711088803.7A CN201711088803A CN107961036A CN 107961036 A CN107961036 A CN 107961036A CN 201711088803 A CN201711088803 A CN 201711088803A CN 107961036 A CN107961036 A CN 107961036A
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China
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examinate
contrast
ultrasound
stomach
inspection
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Inventor
夏国园
孙建刚
程祖胜
钱彩艳
董梁
王亮
王爱芝
裘孝敏
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University of Shaoxing
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University of Shaoxing
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/481Diagnostic techniques involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The invention discloses a kind of full radiography motility of stomach method of ultrasound, comprise the following steps:Assessment and preparation before the first step, Contrast-enhanced ultrasonography, including following three aspects:Assess examinate's physiological function, psychologic status etc.;Examinate's stomach prepares:Fasting, taboo drink before inspection;Configure gastric filling type acoustic contrast;Second step, ultrasonic examination, including following two aspects:The stomach for confirming examinate is in emptying state;Gastric filling type contrast ultrasound inspection:Gastric filling type acoustic contrast is drunk after examinate's seat;With ultrasonic developing-out unit scanning antrum and measure antrum center creep rate, wriggle in a cycle distance, antrum wall motion amplitude difference again;Whole ultrasonic contrast process storage dynamic image;Result of ultrasonography is finally made after discussing according to contrast dynamic image, analysis.The present invention has the characteristics that non-invasive, easy to operate, "dead" endangers.

Description

A kind of full radiography motility of stomach method of ultrasound
Technical field
The invention belongs to field of medical technology, more particularly to a kind of full radiography motility of stomach method of ultrasound.
Background technology
Wriggling distance, the measure of antrum wall motion amplitude difference in examinate's antrum center creep rate, a cycle It directly can truly reflect peristole situation, can accurately detect the peristole power of examinate, but lack in the prior art Special detection means.
The content of the invention
The present invention provides one kind to pass through to distance, the stomach of wriggling in examinate's antrum center creep rate, a cycle The measure of sinusoid wall motion amplitude difference, directly can truly reflect peristole situation, can accurately detect the peristole of examinate The ultrasound of power fills radiography motility of stomach method, it has the characteristics that non-invasive, easy to operate, "dead" endangers.
To reach above-mentioned purpose, technical scheme is as follows:
A kind of full radiography motility of stomach method of ultrasound, comprises the following steps:
Assessment and preparation before the first step, Contrast-enhanced ultrasonography, including following three aspects:
Assess examinate's physiological function, psychologic status etc.;
Examinate's stomach prepares:Fasting, taboo drink before inspection;
Configure gastric filling type acoustic contrast;
Second step, ultrasonic examination, including following two aspects:
The stomach for confirming examinate is in emptying state;
Gastric filling type contrast ultrasound inspection:Gastric filling type acoustic contrast is drunk after examinate's seat;Ultrasonic developing-out unit is used again Scanning antrum simultaneously measures wriggle in antrum center creep rate, a cycle distance, antrum wall motion amplitude difference;Whole ultrasound Angiographic procedure stores dynamic image;Result of ultrasonography is finally made after discussing according to contrast dynamic image, analysis.
Preferably, the assessment examinate physiological function in the step 1, psychologic status etc. include following aspect:
Assess examinate's vital sign, ECG examination data, especially past medical history, angiocardiopathy history;
Examinate's mental adaptation situation is assessed, inspection can be coordinated;
Examinate or family members' informed consent are both needed to before inspection.
In the step 1 stomach prepare be specially:Check that light soft diet is preferably fed in proxima luce (prox. luc) dinner, easy aerogenesis food should not be eaten Thing;When fasting, taboo drink 6 ~ 8 are small before inspection.
The method of configuration gastric filling type acoustic contrast in the step 1 comprises the following steps:First by 48g stomach acoustics Contrast agent is reconstituted with 10~20 DEG C of cold water low temperature, is added 90 DEG C of hot water and is modulated into uniform suspension, by specification aquation extremely 500ml, is finally cooled to 37 DEG C or so by solution, stirs spare.
Examinate during gastric filling type contrast ultrasound checks in the step 2 lies on the back using seat inspection as main position Position, left lateral position or right lateral position inspection are as supplement position.
The frequency probe of ultrasonic developing-out unit in the step 2 in the contrast ultrasound inspection of gastric filling type is arranged to 3.5~ 5MHz。
Drink gastric filling type acoustic contrast in the step 2 in the contrast ultrasound inspection of gastric filling type after examinate's seat M type probe scanning antrums are carried out after agent 2min, sample line places antrum center, measures M type images.
The beneficial technique effect of the present invention is as follows:After using gastric filling type acoustic contrast by oral administration, row gastric filling type radiography Ultrasonic examination, the inspection technique is by moving distance of wriggling in examinate's antrum center creep rate, a cycle, antrum wall The measure of Magnitude Difference, directly can truly reflect peristole situation, can accurately detect the peristole power of examinate.The present invention Inspection method non-invasive, easy to operate, "dead" harm, be a kind of effective peristole power detection means.Particularly, The present invention makes peristole power detection visualization, standardization, improves the science present invention and combines computer technology, enhances inspection essence Exactness, suitable for peristole power patients with abnormal, provides beneficial to feasible means for the detection of peristole power, has stronger market Promotional value.
Brief description of the drawings
Fig. 1 is antrum center M type ultrasonic examination ideographs.
Embodiment
A kind of full radiography motility of stomach method of ultrasound, comprises the following steps:
Assessment and preparation before the first step, Contrast-enhanced ultrasonography
1. assess examinate's physiological function, psychologic status etc.
(1)Assess examinate's vital sign, ECG examination data, especially past medical history, angiocardiopathy history;
(2)Examinate's mental adaptation situation is assessed, inspection can be coordinated;
(3)Examinate or family members' informed consent are both needed to before inspection.
2. stomach prepares
Check that light soft diet is preferably fed in proxima luce (prox. luc) dinner, easy gas forming foods should not be eaten.When fasting, taboo drink 6 ~ 8 are small before inspection.
3. gastric filling type acoustic contrast prepares
(1)Contrast agent:Select stomach acoustic contrast(Heart jade tablet board, 48g/ bags, Hangzhou Huqingyutang Pharmaceutical Technology Co., Ltd).
(2)Contrast agent total amount:Dosage about needs to prepare 500ml.
(3)Contrast agent preparation process, altogether by three phases:
1)First contrast agent is reconstituted with 10~20 DEG C of cold water low temperature.
2) 90 DEG C of hot water are added and are modulated into uniform suspension, by specification(48g/ bags)Aquation is to 500ml.
3) solution is cooled to 37 DEG C or so, stirred spare.
(4)Configuration process points for attention:Control temperature, it is desirable to solution is uniformly mixed, and avoids polluting, reach expansion gastral cavity and Reduce the effect that ultrasound shows pseudomorphism.
Second step, ultrasonic examination
1. before gastric filling type acoustic contrast is drunk, stomach is confirmed in emptying state through ultrasound.
2. gastric filling type contrast ultrasound inspection
(1)Machine choice:Select the ultrasonic developing-out unit popped one's head in convex battle array and M types, 3.5~5MHz of frequency probe.
(2)Examinate's position:It is general to take seat inspection, patient should not face examiner, patient can right anterior oblique position about 30o Position, so that examiner operates, and can prevent patient from vomitting to influence examiner.Dorsal position, left lateral position or right side if necessary Clinostatism inspection is as supplement position.To exclude air interference, need frontier inspection to look into side adjustment position sometimes and carry out scanning.Each section it Between must link up it is complete.Gastric filling type acoustic contrast slowly is drunk, until having drunk.
(3)2min after having drunk, probe scanning antrum, using M types ultrasound.
(4)Measure content:Wriggling distance, antrum wall motion amplitude difference in antrum center creep rate, a cycle(Figure 1).
(5)Whole ultrasonic contrast process storage dynamic image, after playback review contrast dynamic image, by 2 doctors Common analysis makes result of ultrasonography after discussing.
The above embodiments are merely illustrative of the technical solutions of the present invention and it is unrestricted, those of ordinary skill in the art are to this hair Other modifications or equivalent substitution that bright technical solution is made, without departing from the spirit and scope of technical solution of the present invention, It should all cover in scope of the presently claimed invention.

Claims (7)

1. a kind of full radiography motility of stomach method of ultrasound, it is characterised in that comprise the following steps:
Assessment and preparation before the first step, Contrast-enhanced ultrasonography, including following three aspects:
Assess examinate's physiological function, psychologic status etc.;
Examinate's stomach prepares:Fasting, taboo drink before inspection;
Configure gastric filling type acoustic contrast;
Second step, ultrasonic examination, including following two aspects:
The stomach for confirming examinate is in emptying state;
Gastric filling type contrast ultrasound inspection:Gastric filling type acoustic contrast is drunk after examinate's seat;Ultrasonic developing-out unit is used again Scanning antrum simultaneously measures wriggle in antrum center creep rate, a cycle distance, antrum wall motion amplitude difference;Whole ultrasound Angiographic procedure stores dynamic image;Result of ultrasonography is made after finally carrying out analysis discussion to dynamic image.
A kind of 2. full radiography motility of stomach method of ultrasound according to claim 1, it is characterised in that:In the step 1 Assessment examinate physiological function, psychologic status etc. include following aspect:
Assess examinate's vital sign, ECG examination data, especially past medical history, angiocardiopathy history;
Examinate's mental adaptation situation is assessed, inspection can be coordinated;
Examinate or family members' informed consent are both needed to before inspection.
A kind of 3. full radiography motility of stomach method of ultrasound according to claim 1, it is characterised in that:In the step 1 Stomach prepares:Check that light soft diet is preferably fed in proxima luce (prox. luc) dinner, easy gas forming foods should not be eaten;Fasting, taboo drink 6 ~ 8 before inspection Hour.
4. the full radiography motility of stomach method of a kind of ultrasound according to claim 1, it is characterised in that in the step 1 The method of configuration gastric filling type acoustic contrast comprise the following steps:First 48g stomaches acoustic contrast cool is opened with 10~20 DEG C Water low temperature reconstitutes, and adds 90 DEG C of hot water and is modulated into uniform suspension, by specification aquation to 500ml, finally cools down solution To 37 DEG C or so, stir spare.
A kind of 5. full radiography motility of stomach method of ultrasound according to claim 1, it is characterised in that:In the step 2 Examinate in the inspection of gastric filling type contrast ultrasound is using seat inspection as main position, dorsal position, left lateral position or right lateral position Check as supplement position.
A kind of 6. full radiography motility of stomach method of ultrasound according to claim 1, it is characterised in that:In the step 2 The frequency probe of ultrasonic developing-out unit in gastric filling type contrast ultrasound inspection is arranged to 3.5~5MHz.
A kind of 7. full radiography motility of stomach method of ultrasound according to claim 1, it is characterised in that:In the step 2 Progress M type probes are swept after drinking gastric filling type acoustic contrast 2min in gastric filling type contrast ultrasound inspection after examinate's seat Antrum is looked into, sample line places antrum center, measures M type images.
CN201711088803.7A 2017-11-08 2017-11-08 A kind of full radiography motility of stomach method of ultrasound Pending CN107961036A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109620285A (en) * 2018-12-05 2019-04-16 余姚市华耀工具科技有限公司 Patient's fasting state judges platform
CN110664426A (en) * 2019-10-18 2020-01-10 北京深睿博联科技有限责任公司 Stomach water replenishing filling degree judgment method based on deep dense convolution network
CN113069129A (en) * 2021-02-26 2021-07-06 四川省肿瘤医院 Method for removing intragastric artifacts in 18F-FDG PET/CT examination
CN115064264A (en) * 2022-06-20 2022-09-16 四川大学华西医院 Method and system for real-time evaluation of gastrointestinal function and movement rhythm based on ultrasound

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109620285A (en) * 2018-12-05 2019-04-16 余姚市华耀工具科技有限公司 Patient's fasting state judges platform
CN110664426A (en) * 2019-10-18 2020-01-10 北京深睿博联科技有限责任公司 Stomach water replenishing filling degree judgment method based on deep dense convolution network
CN110664426B (en) * 2019-10-18 2023-04-28 北京深睿博联科技有限责任公司 Stomach water replenishing filling degree judging method based on depth dense convolution network
CN113069129A (en) * 2021-02-26 2021-07-06 四川省肿瘤医院 Method for removing intragastric artifacts in 18F-FDG PET/CT examination
CN113069129B (en) * 2021-02-26 2023-04-11 四川省肿瘤医院 Method for removing intragastric artifacts in 18F-FDG PET/CT examination
CN115064264A (en) * 2022-06-20 2022-09-16 四川大学华西医院 Method and system for real-time evaluation of gastrointestinal function and movement rhythm based on ultrasound

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Application publication date: 20180427