经脐途径经自然腔道内镜手术诊断不明原因腹水的价值  

The value of transumbilical natural orifice transluminal endoscopic surgery peritoneoscopy for unexplained ascites

作　　者：王东[1] 杨丽[1] 刘伟芬[1] 吴仁培[1] 祁可[1] 李兆申[1] 

机构地区：[1]第二军医大学附属长海医院消化科,上海200433

出　　处：《中国临床实用医学》2014年第6期3-5,共3页China Clinical Practical Medicine

摘　　要：目的：初步探讨经脐途径经自然腔道内镜手术（NOTES）诊断不明原因腹水的诊断价值。方法以2009年6月至2014年10月长海医院消化内科收治的16例不明原因腹水患者为研究对象，对其行经脐途径内镜下腹腔探查术，记录手术过程、结果及并发症发生情况。结果16例不明原因腹水患者均顺利完成腹腔探查，并获得明确诊断，其中10例诊断为结核性腹膜炎，另6例诊断为癌性腹水。16例患者术后均恢复良好，均未出现近期及远期相关并发症。结论经脐途径NOTES腹腔探查简便可行，技术难度低，对常规方法不能明确病因诊断的腹水进行腹腔探查术是可行、安全的方法。ObjectiveTo investigate the diagnostic value of transumbilical natural orifice transluminal endoscopic surgery (NOTES) peritoneoscopy for unexplained ascites.MethodsFrom June 2009 to October 2014,transumbilical peritoneoscopy was performed on 16 patients with a unexplained ascites who can not confirm the diagnosis by conventional methods in Changhai Hospital affiliated to the Second Military Medical University. Surgical procedures, results, and complications were recorded.ResultsDiagnosis of all the 16 patients were confirmed after transumbilical peritoneoscopy. Ten cases were diagnosed as tuberculosis peritonitis, and 6 cases were malignant ascites. No intraoperative or postoperative complications occurred. ConclusionConventional methods can not make a clear diagnosis of the cause of ascites,NOTES umbilical abdominal exploration approach is safe,simple,feasible and low technical difficulty.

关 键 词：腹水 经自然腔道内镜手术(NOTES) 腹腔探查 

分 类 号：R[医药卫生]