不明原因腹水诊断中腹腔镜检查的应用价值  

The value of laparoscopy in the diagnosis of unknown origin ascites

作　　者：安兆峰[1] 韩彦华[1] 杨丽超[1] 张义伟[1] 

机构地区：[1]河南省漯河市中心医院普外科,漯河462000

出　　处：《临床医学》2011年第4期33-35,共3页Clinical Medicine

摘　　要：目的探讨腹腔镜检查在不明原因腹水诊断中的应用及价值。方法对42例不明原因腹水患者的腹腔镜探查及活检病理结果进行回顾性分析。结果 42例患者全部诊断明确,其中腹腔结核24例;腹腔恶性肿瘤16例,11例为转移性腺癌,5例为腹膜恶性间皮瘤;肝硬化2例。结论腹腔镜检查对不明原因腹水是一种安全、准确的诊断方法。Objective To investigate the diagnosis value of laparoscopic examination for patients with unknown origin ascites.Methods The datas of 42 patients with unknown origin ascites were analyzed retrospectively.Results All of 42 cases were diagnosed definitely.Twenty-four of them were diagnosed as abdominal tuberculosis;16 cases were proved to be abdominal malignant tumor,while 11 of them were metastatic adenocarcinoma,5 cases were malignant peritoneal mesothelioma（MPM）;2 cases were diagnosed as hepatic cirrhosis.Conclusion Laparoscopy is a safe and accurate method in the diagnosis of patients with unknown origin ascites.

关 键 词：腹腔镜 腹水 诊断 

分 类 号：R656[医药卫生—外科学]