不明原因腹水的腹腔镜探查(附32例报告)

Laparoscopic exploration of unknown origin ascites:with a report of 32 cases

目的:探讨腹腔镜用于探查不明原因腹水的价值。方法:回顾分析1999年6月至2009年6月我院为32例不明原因腹水患者行腹腔镜探查术的临床资料。结果:31例(96.9%)明确了腹水原因,其中肿瘤性腹水17例,结核性腹水12例,出血坏死性肠炎1例,盆腔炎1例;1例未查明病因。结论:不明原因腹水患者病因以恶性肿瘤及结核性腹膜炎为主;腹腔镜探查对诊断腹水病因有较高的实用价值。

Objective：To explore the value of laparoscopic exploration of ascites with uncertain etiology. Methods：We retro- spectively analyzed clinical data of 32 cases of laparoscopie exploration for unknown origin ascites fi＇om Jun. 1999 to Jun. 2009 in our hospital. Results ： In 32 cases,31 cases （96.9%） were diagnosed definitely. 17 of them were diagnosed as malignant ascites, 12 cases were proved to be tuberculous aseites, 1 case was due to hemorrhagic necrotic enteritis, 1 case was diagnosed as pelvic inflammatory dis- ease, 1 case didnl get final diagnosis. Conclusions：The most common causes of unknown origin ascites were malignant tumor and tuber- culous peritonitis. Laparoseopie exploration plays an important role in diagnosing the etiology of ascites.