腹腔镜检查在疑难性腹部疾病病因诊断中的应用  

Laparoscopy for diagnosis of complicated abdominal diseases

作　　者：周曾芬[1] 秦兴陆[2] 崔蓉[1] 何青雯[1] 刘文斌[1] 张海蓉[1] 李敏丽[1] 段丽萍[1] 李桂萍[1] 戴维[1] 

机构地区：[1]昆明医学院第一附属医院消化科,650032 [2]昆明医学院第一附属医院,650032

出　　处：《中华消化内镜杂志》1999年第5期281-283,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的　探讨腹腔镜检查在疑难性腹部疾病病因诊断中的价值。方法　应用电视腹腔镜对１４ 例临床诊断不明的腹水和腹块患者进行腹腔镜检查及活检。结果　全部病例检查成功并获确诊，同时发现罕见的腹部疾病７ 例，无１例并发症发生。本组临床和影像学诊断与腹腔镜病理诊断符合率分别为３５．７１％ （５／１４）和２８．５７％ （４／１４）；腹腔镜肉眼诊断与病理诊断符合率为４２．８６％ （６／１４）。结论　腹腔镜检查是疑难性腹部疾病病因诊断中的一种具有确诊价值和比较安全可靠的方法；腹腔镜直视下对病灶（结节或肿块）进行多部位、多点和大块组织活检可使病理诊断阳性率提高达１００％ 。Objective The diagnostic value of laparoscopy for complicated abdominal disorders was probed. Methods 14 cases with ill defined ascites and masses were subjected to celioscopic and bioptic studies.Results Satisfatory examination was achieved in all with no side effect; meanwhile some rare disorders were detected in 7 instances. The rate of clinical diagnosis being confirmed by radiology and pathology was 35.71% ( 5/14 ) and 28.57% ( 4/14 ) respectively, whereas that of celioscopic diagnosis affirmed by pathology was 42.86% ( 6/14 ).Conclusion Laparoscopy is of value to set correct diagnosis for ambiguous abdominal diseases, moreover through which multiple biopsies of enough amount from multiple sites can be obtained, resulting in elevation of correct diagnostic rate to 100%.

关 键 词：腹水 腹块 腹部疾病 诊断 腹腔镜 病因 

分 类 号：R656.04[医药卫生—外科学] R570.4[医药卫生—临床医学]