腹腔镜检查诊断原因不明下腹痛的价值  

The Diagnostic Value of Laparoscopy In 479 Patients with Acute and Chronic Lower Abdominal Pain

作　　者：高雪梅[1] 吴艳乔[1] 

机构地区：[1]华西医科大学附属第二医院,四川成都610041

出　　处：《实用妇产科杂志》2000年第1期39-40,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:了解急、慢性下腹痛的发生原因。方法:应用腹腔镜诊断下腹痛的病因。结果:479例下腹痛患者中,97.91%找到了原因,其中最常见为盆腔粘连29.22%,宫内膜异位症28.81%,盆腔炎12.94%,异位妊娠9.39%及其他病因。腹腔镜阳性检出率明显高于妇科盆腔检查和超声波检查,差异有统计学意义(χ2=349,P<0.01,χ2=483,P<0.01)。经产妇下腹痛的发生明显高于未产妇。结论:腹腔镜检查对下腹痛病因的诊断明显优于一般妇科盆腔检查和超声波检查。Objective:To find out the causes of acute and chronic lower abdominal pain.Methods:Using the diagnostic technique of laparoscopy to diagnose the cause of lower abdominal pain.Results:The causes in 97.9% of 479 patients with acute and chronic lower abdominal pain were found out,which were adhesion (29.2%),endometriosis(28.8%),pelvic inflammation (12.9%),ectopic pregnancy(9.4%),and so on.The positive rate of laparoscopy examination was higher than that of pelvi examination and ultrasonography examination.The occurrence of lower abdominal pain in the multiparous women was significantly higher than that in the nulliparous.Conclusion:The diagnostic technique of laparoscopy had higher diagnostic value for finding out the causes of lower abdominal pain.

关 键 词：下腹痛 病因 诊断 腹腔镜检查 腹痛 

分 类 号：R441.1[医药卫生—诊断学] R443.8[医药卫生—临床医学]