腹腔镜技术诊断结核性腹膜炎的应用价值  

Value of diagnostic laparoscopy in tuberculous peritonitis

作　　者：赵景林[1] 李晓平[1] 马少锋[1] 林碗娜[1] 

机构地区：[1]江门市中心医院,广东江门529000

出　　处：《腹腔镜外科杂志》2012年第8期616-618,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜技术诊断结核性腹膜炎有效性及安全性。方法:回顾分析2006年1月至2011年1月为36例疑为结核性腹膜炎的患者行腹腔镜探查术的临床资料,并收集临床数据、腹水成分、组织病理活检进行临床评估。结果:32例患者经组织学活检及抗酸杆菌培养确诊为结核性腹膜炎,其中19例以腹腔粘连为临床表现,13例表现为腹水,腹腔镜确诊率为88.9%。术后无并发症发生,均经规范抗结核治疗治愈。结论:腹腔镜探查术是诊断结核性腹膜炎安全、准确的方法。Objective ： To assess the safety and efficacy of diagnostic laparoscopy in patients with tuberculous peritonitis. Meth- ods ： Thirty-six patients with suspected tuberculous peritonitis underwent laparoscopy from Jan. 2006 to Jan. 2011. Clinical and laboratory findings, biochemical and microbiological analysis of ascites, histopathological examination of specimens were analyzed to evaluate the safety and efficacy of diagnostic laparoscopy. Results：Thirty-two patients were diagnosed as tuberculous peritonitis through histopatho- logical examination and mycobacterium tuberculosis culture ,of which 19 cases mainly displayed abdominal adhesion, while the rest 13 cases chiefly manifested ascites. The diagnostic rate of laparoscopy was 88.9%. No complications occurred after operation. Patients were all cured by normative antituberculous treatment. Conclusions：Laparoscopy is a safe and effective method in diagnosis of tuberculous peritonitis.

关 键 词：腹膜炎 结核性 腹腔镜检查 病例报告 

分 类 号：R656.41[医药卫生—外科学]