腹腔镜检查对腹腔疑难病的诊断价值  

THE DIAGNOSTIC VALUE OF LAPAROSCOPY TO COMPLICATED ABDOMINAL DISEASES

作　　者：顾芳[1] 吕愈敏[1] 林三仁[1] 周丽雅[1] 李益农[1] 郑芝田[1] 

机构地区：[1]北京医科大学第三医院消化科,100083

出　　处：《中国内镜杂志》2000年第4期20-22,共3页China Journal of Endoscopy

摘　　要：为探讨腹腔镜检查对腹腔疑难病的诊断价值 ,对 2 70例腹腔疑难病例的腹腔镜检查结果进行回顾分析。结果显示腹腔镜检查的总确诊率为 82 .2 % (2 2 2 / 2 70 ) ,其中对腹水、腹痛、肝脾肿大、黄疸的确诊率分别为88.6 % (132 / 149) ,73 .2 % (6 0 / 82 ) ,85 .7% (18/ 2 1) ,10 0 % (11/ 11) ,腹腔镜检查的并发症发生率为 1.9% (5 /2 70 )。结论 :腹腔镜检查是一种安全、诊断率高、价廉的检查方法 ,对腹腔疑难病的诊断具有重要价值。Objective: In order to investigate the diagnostic value of laparoscopy for complicated abdominal diseases. Methods: The lapatoscopic results of 270 complicated abdominal cases were analyzed retrospectively. Results: The total diagnostic rate of laparoscopy was 82.2% (222/270). The causes were diagnosed through laparoscopy in 88.6% (132/149) patients with ascitis, 73.2% (60/82) patients with abdominal pain, 85.7% (18/21) patients with hepatosplenomegaly and 100% (11/11) patients jaunduice. The complication rate was 1.9% (5/270). Conclusions: Laparoscopy is a safe, effective and cheap method for the diagnosis of complicated abdominal diseases.

关 键 词：腹腔镜检查 诊断 腹腔病 

分 类 号：R572.04[医药卫生—消化系统]