结核性腹膜炎的诊断现状

Diagnostic strategies of tuberculous peritonitis

结核性腹膜炎的诊断在结核病较常见的国家仍是一项挑战。该病的临床表现无特异性。以淋巴细胞为主的腹膜炎和低血清-腹水白蛋白梯度(＜11g/L)的患者应考虑结核性腹膜炎可能。腹水培养结核杆菌和经腹腔镜取腹膜活检标本是诊断结核性腹膜炎的重要方法。并讨论多聚酶链反应,腺苷脱氨酶和其他方法诊断结核性腹膜炎的价值。

Tuberculous peritonitis remains a challenge in countries, where tuberculosis is prevalent. It should be considered in the differential diagnosis of all patients presenting with unexplained lymphaeytie ascites and those with a low serum aseites albumin gradient （SAAG〈 11g/L）, Culture of myeobaeterium of aseitie fluid and peritoneal biopsy under laporaseopy are important diagnostic procedures. The role of polymerase chain reaction, ascitic adenosine deaminase and other methods in the diagnosis is discussed.