多功能腹膜检查针在结核性腹膜炎诊断中的应用研究  

The significance of multifunctional peritoneal biopsy needle in the diagnosis of tuberculous peritonitis

作　　者：刘苏[1] 陈岳祥[2] 沈健伟[2] 张忠兵[2] 朱梁[2] 

机构地区：[1]上海长征医院闸北分院上海市闸北区中心医院消化内科,上海200070 [2]第二军医大学附属上海长征医院消化内科,上海200003

出　　处：《中国实用内科杂志》2007年第14期1116-1118,共3页Chinese Journal of Practical Internal Medicine

基　　金：军队医药卫生重大科技成果扩试推广应用项目([2000]卫科训字第50号)

摘　　要：目的评价多功能腹膜检查针在结核性腹膜炎诊断中的应用价值。方法2001年1月至2005年9月对第二军医大学附属上海长征医院消化内科收治的27例结核性腹膜炎住院患者中19例用自制多功能腹膜检查针行腹膜活检,并与患者的临床表现、辅助检查、腹腔镜等检查结果进行比较。结果27例患者中,5例根据症状、体征、血沉、血清和腹水癌抗原(CA125)以及腺苷脱氨酶(ADA)、抗结核抗体、腹水抗酸染色、PPD试验高度考虑结核性腹膜炎,余22例临床诊断依据不足的患者中,19例行腹膜检查针活检,其中14例病理报告提示腹膜结核病,确诊率73.68%,5例病理报告提示纤维组织增生、慢性炎性细胞浸润,不排除腹膜结核病,疑诊率26.32%;另外3例行腹腔镜检查确诊。结论自制多功能腹膜检查针行腹膜活检,操作简单,创伤性小,病理确诊率高,在无腹腔镜的单位或无条件进行腹腔镜检查的疑似结核性腹膜炎患者中,进行该项检查更具实用价值。Objective To identify applied value of multifunctional peritoneal biopsy needle （MPBN） in the diagnosis of tuberculous peritonitis （TP）. Methods Peritoneal biopsy was performed with MPBN in 19 cases of 27 patients with TP between January 2001 and September 2005, which was compared with the clinical presentation, laboratory analysis and laparoscopy. Results Five patients were diagnosed as TP according the clinical presentation and laboratory analysis. In 19 patients with TP ,73.68% was accurately diagnosed as with MPBN. All of the 3 patients were accurately diagnosed as TP with laparoscopy. Conclusion Peritoneal biopsy with MPBN is useful in diagnosis of tuberculous peritonitis, especially when there is no laparoscope.

关 键 词：腹膜 多功能腹膜检查针 结核性腹膜炎 

分 类 号：R5[医药卫生—内科学]