腹腔镜、腹腔穿刺液细胞学和影像学检查对腹部疾病诊断的比较  

The value of laparoscopy, ascites cytology and scanning techniques in the diagnoses of complicated abdominal diseases

作　　者：周曾芬[1] 秦兴陆[2] 李树安[1] 崔蓉[1] 段丽萍[1] 李桂萍[1] 刘文斌[1] 张海蓉[1] 马永福[1] 

机构地区：[1]昆明医学院第一附属医院消化内科,650032 [2]昆明医学院第一附属医院,肝胆外科650032

出　　处：《中华普通外科杂志》2001年第3期161-163,共3页Chinese Journal of General Surgery

摘　　要：目的　探讨诊断性腹腔镜对疑难性腹部疾病的诊断价值。方法　对 31例临床难以诊断的腹痛、腹水和腹部肿块患者进行电视腹腔镜下检查和活检 ,并对腹腔镜、腹腔穿刺液细胞学和影像学检查诊断分级进行比较。结果　 31例腹腔镜检查均获成功 ,经活检病理组织学检查 30例明确诊断 ,确诊率达 97%。并发现罕见腹部疾病 11例 (36 % )。腹腔镜分级诊断的Ⅰ级诊断率 (97% )明显高于腹腔穿刺液细胞学和影像学诊断率 (10 %和 19% ) (P均 <0 0 1)。结论　腹腔镜检查是不明原因腹痛、腹水和腹部肿块病因诊断的一种确诊率最高、安全和快速的方法。Objective To explore the value of diagnostic laparoscopy on the etiology of complicated abdominal diseases.Methods 31 complicated cases with abdominal pain,ascites and abdominal mass underwent video laparoscopy and biopsy, the comparision in diagnostic grades between laparoscopy, ascites cytology and scanning techniques was done. Result All cases underwent laparoscopy successfully and 97% cases were diagnosed clearly by biopsy and histology, in which the cause of 11 cases(36%)were rare. The grade Ⅰdiagnostic rate of laparoscopy(97%) was higher than ascites cytology(10%) and scanning techniques (19%)(all P<001). Conclusions Diagnostic laparoscopy is a highly accurate and safe method for the diagnosis of complicated abdominal diseases presenting with abdominal pain, ascites and abdominal mass.

关 键 词：腹腔镜检查 细胞学诊断 腹部疾病 

分 类 号：R656[医药卫生—外科学]