Objective To investigate the diagnostic value of
ultrasonography.in
elderly patients with gastric
tumors.
Methods A total of 42
elderly patients with gastric
tumors confirmed by
surgery pathology underwent oral contrast-enhanced
ultrasonography and
electronic gastroscopy.The diagnostic effect of oral contrast-enhanced
ultrasonography and
electronic gastroscopy were compared based on the
gold standard of
surgical pathology.Results Of the 42
elderly patients with gastric
tumors,40
patients were diagnosed by oral contrast-enhanced
ultrasonography and the
surgical pathology(40/42,95.2%),with Kappa value of 0.812.And 38 cases were diagnosed by
electronic gastroscopy and the
surgical pathology(38/42,90.5 %),with Kappa value of 0.718 (P < 0.05).Based on
gold standard of
surgical pathology results,the accuracies of T1,T2,T3 and T4 stage by oral contrast-enhanced
ultrasonography were 95.0% (38/40),95.0% (38/40),100.0% (40/40) and 100.0%(40/40),respectively.The
sensitivity and specificity of T3 and T4 stage for oral contrastenhanced
ultrasonography reached to 100.0 %.The diagnostic accuracies of N0,N1-N3,M0 and M1 by oral contrast-enhanced
ultrasonography were 95.0 % (38/40),95.0 % (38/40),100.0 % (40/40) and 100.0%(40/40).Conclusions Oral contrast-enhanced
ultrasonography is a simple,painless and non-invasive
method for the
diagnosis of gastric
tumors in the
elderly.And its qualitative coincidence rate of the
tumors diagnosis is
similar to that of
gastroscopy.So it can be used as the first choice for the examination of gastric
tumors in the
elderly.Oral contrast-enhanced
ultrasonography has a high diagnostic accuracy on
TNM staging of gastric
tumor.When combined with
electronic gastroscopy,it may provide a more reliable basis for the choice of evaluation of
treatment and
prognosis in
elderly patients with gastric
tumor.