腹腔镜探查在不明原因腹水诊断中的应用  

Clinical analysis of laparoscopic exploration in diagnosis of ascites of unknown origin

作　　者：李波[1] 贺凯[2] 于文滨[1] 赵鸿鹏[1] 王培林[1] 

机构地区：[1]山东大学第二医院,山东济南250033 [2]山东大学校医院

出　　处：《腹腔镜外科杂志》2009年第8期633-635,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜探查在不明原因腹水诊断中的应用价值。方法:回顾性分析63例不明原因腹水患者行腹腔镜探查术,并取可疑组织送病理检查的临床资料。结果:腹腔镜探查明确诊断61例,其中结核性腹膜炎31例,转移性腺癌20例,腹膜间质瘤8例,淋巴瘤2例,均未发生并发症。结论:腹腔镜探查对于不明原因腹水的诊断安全有效,确诊率高,值得临床推广。Objective：To investigate the value of laparoscopic exploration in patients with ascites of unknown origin.Methods：Laparoscopic exploration was performed in 63 patients with ascites of unknown origin.All the suspected tissues were taken for pathologic examination.The clinical data of these patients were retrospectively analyzed.Results：The diagnosis of sixty-one patients was definite by laparoscopy.Among them,the major cause was tuberculous peritonitis（31/63）,the second was metastatic adenocarcinoma（20/63）,the third was peritoneal mesothelioma（ 8/63 ） ,the last was lymphoma（2/63 ）. No post-operative complications occurred. Conclusions： Laparoseopic exploration is safe and effective for the determination of origin of ascites.

关 键 词：腹腔镜检查 腹水 病例报告 

分 类 号：R57[医药卫生—消化系统] R730.4[医药卫生—内科学]