国产胃镜及腹腔镜检查肝脏120例分析

Analysis of Laparoscopy in 120 Cases of Liver Diseases Using Chinamade Laparoscope or Gastroscope.

用国产胃镜(XS-4)代腹腔镜或用腹腔镜(IFS—2)检查120例临床提示肝占位病变病人肝脏,确诊肝癌113例,肝血管瘤4例,肝硬化3例。镜下观察肝癌征象阳性率,LFS—2为85.5％,XS-4为93.2％(P>0.05)。肝癌病理阳性率,LFS—2为81.2％,XS-4为75.0％(P>0.05)。用LFS—2直接观察到肝表面呈弥漫性结节样变者病理均证实肝硬化改变。肝血管瘤从形态上可直观确诊。同时比较了LFS—2与XS-4检查肝脏的优缺点,提出了胃镜用于腹腔检查的可行性。

In the livers of 120 patients with prompted space occupying lesions, 113 cases of cancers, 4 cases of hemangiomata and 3 cases of cirrhosis were diagnosed under laparoscopy by means of china-made laparoscope(Model LFS-2) or gastroscope (Model GFS-B4). The positive rate of the signs of cancer on the liver surface seen in LFS-2 group were 85.5％ (59/69) and in GFS-B4 group were 93.2％ (41/44), (P>0.05 ). The pathological positive rate of liver cancer were 81.2％ (56/69) in LFS-2 group and 75％ (33/44) in GFS-B4 group, (P>0.05), IN 43/69 cases in the LFS-2 group, all the liver surfaces assuming nodular changes were confirmed to be cirrhosis pathologically. Hemangiomas of liver may be diagnosed by direct laparoscopical examination. The merits and demerits of laparoscope and gastroscope in the examination of liver were also compared, and the authors brought forward the feasibility of using gastroscope instead of laparoscope in the examination of abdominal cavity.