Jaspersen D
Medizinische Klinik II, Städtischen Klinikums Fulda.
Fortschr Med. 1992 Jun 30;110(18):336-9.
Investigation of the information value of endoscopic Doppler ultrasonography of the base of the ulcer in comparison with visual endoscopic assessment of bleeding gastroduodenal ulcers using the Forrest classification.
Open prospective comparative study involving 30 patients with acutely bleeding gastroduodenal ulcers. Where Doppler ultrasonography revealed an artery in the base of the ulcer, injection with epinephrine and polidocanol was administered. Follow-up examinations were performed on day 2 and after 4 weeks.
Endoscopic Doppler ultrasonography reliably identifies the vessels responsible for bleeding from gastroduodenal ulcers, in particular in lesions with stigmata of recent bleeding (Forrest II), but also in ulcers with no such stigmata but a history of bleeding (Forrest III). In addition, Doppler ultrasonography also allows the results of injection therapy to be determined.
Endoscopic Doppler ultrasonography makes possible the rapid and efficient identification of invisible vessels in the ulcer floor responsible for bleeding.
与采用福里斯特分类法对出血性胃十二指肠溃疡进行的内镜视觉评估相比，研究溃疡底部内镜多普勒超声检查的信息价值。
开放性前瞻性对照研究，纳入30例急性出血性胃十二指肠溃疡患者。若多普勒超声检查显示溃疡底部有动脉，则给予肾上腺素和聚多卡醇注射。在第2天和4周后进行随访检查。
内镜多普勒超声检查能够可靠地识别导致胃十二指肠溃疡出血的血管，特别是在有近期出血征象（福里斯特II级）的病变中，但在无此类征象但有出血史的溃疡（福里斯特III级）中也能识别。此外，多普勒超声检查还能确定注射治疗的效果。
内镜多普勒超声检查能够快速、有效地识别溃疡底部导致出血的隐匿血管。
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