摘要
目的探讨诊断性腹腔镜在临床的应用价值。方法回顾性分析1994年2月至2000年10月进行的75例诊断性腹腔镜检查。结果对28例不明原因腹水,24例腹外伤、急腹症。9例不明原因腹内肿块,6例性质不明肝脏肿块。6例肿瘤待查及2例膈肌病变,除2例不明原因腹水患者诊断未明外,余皆在腹腔镜下得到明确诊断及相应的有效治疗。总诊断明确率为97.4％。有3例发生并发症,发生率4.0％。结论诊断性腹腔镜检查是一种较安全、有效的检查方法,在评估腹腔内病变,如肝脏疾病,不明原因腹水,腹腔内肿瘤的诊断、转移病灶的发现和恶性病变的分期,某些腹外伤及急腹症方面有其独特而重要的作用。
Objective To discuss the clinical value of diagnostic laparoscopy.Methods Retrospective analysis of 75 diagnostic laparoscopies done between February 1994 and October 2000.Results Of 75 cases,28 were ascites with unknown origin,24 acute abdomens, 9 intra-abdominal masses with unknown origin,6 indefinitive hepatic masses,6 cancer explorations and 2 diaphragm lesions.Except two ascites with unknow origin were not diagnosed definitively, all others were clear in diagnosis and underwent relevant effective treatment.The overall diagnostic rate was 97.4%.There were 3 minor complications,the morbidity was 4.0%.Cnoclusion The diagnostic laparoscopy is a safe and valuable procedure in evaluadion of abdominal lesions,especially in liver lesions,ascites with unknown origin,intra-abdominal mass,revealing metastases malignancy staging,some abdominal trauma and acute abdomen conditions.
出处
《现代消化及介入诊疗》
2001年第1期20-23,共4页
Modern Interventional Diagnosis and Treatment in Gastroenterology
