腹腔镜技术诊断136例疑难性腹水

Lalmroscopy technique in diagnosis of 136 patients with complicated ascites

目的探讨腹腔镜技术在疑难性腹水诊断中的应用价值。方法对136例疑难性腹水患者的腹腔镜探查＋活检结果进行回顾性分析。结果136例中130例患者得到明确诊断，其中结核性腹膜炎83例，腹腔恶性肿瘤37例，肝硬化8伪。肠系膜巨大囊肿2例。6例腹腔镜下探查及活检结果不明确，经内科对症支持治疗4例治愈，2例放弃治疗。确诊率为95．7％。结论腹腔镜技术具有微创、安全、确诊率高的优点，逐渐成为疑难性腹水的有效诊断方法。

Objective To investigate the value of laparoscopy in the diagnosis of complicted ascites.ic approach and biopsy data of 136 patients with complited ascites were retrospectively analyzed. Results The diagnosis was comfirmed in 130 patients. 83 cases were tuberculous peritonitis, 31 cases were abdominal cavity malignant, 8 cases were liver to harden ,2 cases were macrocapsule of mesenterium. The laparoscopic approach and biopsy data of 6 cases were indefinited,4 cases to undergo medical department anti - sign and supportive treatment were cured ,2 cases gave up treatment. The total definite diagnostic rate was 95.7%. Conclusion Laparoscopic technique with mini -create, safe and high definite diagnostic rate is gradually becoming useful method for diagnosing patients with complicated ascites.