腹腔镜检查在慢性肝病诊断中的意义

Clinical significance of laparoscopy for diagnosis of chronic hepatic diseases

目的 评价腹腔镜在肝病诊断中的价值。方法 对１２６ 例肝病患者的腹腔镜检查作了回顾性综合分析。结果 确诊的主要病种为肝硬化５８ 例，慢性肝炎３０ 例，肝癌２１ 例（原发性１９ 例，继发性２ 例），肝周围炎６例，其它５例；原发性肝癌合并肝硬化的有１３ 例（占６８％ ），有肝周、脾周或腹腔内不同程度粘连者４１例。镜检的正确率（证实和修正临床诊断）达到９５．２％ 。对各病种在腹腔镜下的主要表现分别作了描述，并指出了镜检中应注意的问题。结论 腹腔镜检查并配合活检，作为肝脏疾病的较好诊断方法，具有实用价值。

Objective The diagnostic significance of laparoscopy for chronic hepatic disorders was evaluated.Methods Laparoscopy was conducted in 126 patients with chronic liver diseases; a part of which biopsied.Results Diagnosis was thus confirmed as hepatic cirrhosis in 58 cases, chronic hepatitis in 30, liver cancer in 21( primary in 9, secondary in 2 ), perihepatitis in 6 and other illness in 5. Laparoscopic accuracy rate rose to 95.2%. The scopic features of each disorder were described in detail.Conclusion Laparoscopy with biopsy is of practical value in establishing correct diagnosis of chronic liver diseases.