FANG Jianqiang, ZHAO Weian, LI Qing, et al. Diagnostic value of transabdominal gastric-filling ultrasonography for gastric motility disorders in functional dyspepsia patients. [J]. Journal of Clinical Ultrasound in Medicine 22(2):117-120(2020)
FANG Jianqiang, ZHAO Weian, LI Qing, et al. Diagnostic value of transabdominal gastric-filling ultrasonography for gastric motility disorders in functional dyspepsia patients. [J]. Journal of Clinical Ultrasound in Medicine 22(2):117-120(2020) DOI: 10.16245/j.cnki.issn1008-6978.2020.02.015.
Diagnostic value of transabdominal gastric-filling ultrasonography for gastric motility disorders in functional dyspepsia patients
Objective To investigate the diagnostic value of transabdominal gastric-filling ultrasonography for gastricmotility disorders in functional dyspepsia patients.MethodsTransabdominal gastric-filling ultrasonography was performed on 150 patients with functional dyspepsia patients(FD group)and 50 cases of healthy volunteers(control group)
the volume ofgastric body and antrum was measured by three-dimensional technique with virtual organ computer-aided analysis(VOCAL)
and the gastric antrum peristaltic wave amplitude
velocity
frequency were measured by two-dimensional ultrasound
and thepercentage occlusion of gastric contractions and gastric motility index were calculated
and the measured parameters of twogroups were compared.The receiver operating characteristic(ROC)curve was plotted to obtain the diagnostic cutoff values ofgastric antrum peristatic wave amplitude
the percentage occlusion of gastric contraction and gastric motility index
and thediagnostic efficacy were calculated.ResultsThere were no significant differences in age
gastric body volume
gastric antrumvolume
gastric wall peristaltic frequency and gastric antrum peristaltic wave velocity between FD group and the control group.There were statistically significant differences between the two groups in peristaltic antrum peristaltic wave amplitude
thepercentage occlusion of gastric contractions and gastric motility index(all P
<
0.05).The cutoff values of gastric antrum peristalticwave amplitude
percentage occlusion of gastric contractions and gastric motility index obtained from the ROC curve were8.5 mm
55.5% and 24.9 mm
2
/s respectively
and the area under the curve were 0.780
0.776
and 0.778
respectively. Thediagnostic sensitivity were 78.67%
69.33%
77.33%
and the specificity were 78.00%
78.00%
80.00%
and the diagnosticcoincidence rate were 78.50%
71.50%
78.00% respectively.The sensitivity
specificity
diagnostic coincidence rates of threeindicators combined diagnosis were 81.33%
78.00%
80.50%
respectively.ConclusionTransabdominal gastric-fillingultrasonography has certain diagnostic value for gastric motility disorders in functional dyspepsia patients.