CT引导下腹膜活检对不明原因腹水的诊断价值  

Diagnostic Value of the CT-guided Percutaneous Biopsy of Peritoneum for Unknown Ascites

作　　者：姚运河[1] 乔晓春[1] 王启志[1] 朱波[1] 王利明[1] 

机构地区：[1]安徽省蚌埠市第一人民医院消化内科,233000

出　　处：《解剖与临床》2008年第3期187-188,共2页Anatomy and Clinics

摘　　要：目的：探讨CT引导下经皮腹膜穿刺活检对原因不明腹水的诊断价值 方法：在CT引导下对不明原因腹水患者增厚的腹膜穿刺活检并行病理组织学检查。6例患者共行7次穿刺，每次取2-3块腹膜壁层组织。结果：6例中经活检明确腹水原因，其中经病理证实结核性腹膜炎3例，转移性腺癌2例；另1例无明确意义（大致正常腹膜组织）。结论：经皮腹膜穿刺活检对不明原因腹水的诊断，特别是对结核性腹膜炎和腹膜肿瘤的鉴别诊断具有重要的价值。Objective：To discuss the diagnostic value of CT-guided percutaneous biopsy of peritoneum for unknown ascites. Methods ： The CT-guided biopsy for the incrassated peritoneum induced by ascites of unknown origin were performed on six cases.2-3 pieces of peritoneal tissues were obtained respectively from each patients for histopathologic examination.Results：The etiology of ascites was ascerlained as tuberculous peritonitis （n=3） and adenocarcinoma metastatic（n=2）by pathological examination in six cases, Another one was not diagnosed finally for roughly normal peritoneal tissues. Conclusion：The CT-guided percutaneous biopsy of peritoneum has an important diagnostic value for unknown ascites, especifically for differential diagnosis of tuberculous peritonitis and malignant aseites.

关 键 词：腹水 CT 腹膜活检 

分 类 号：R442.5[医药卫生—诊断学]