不明原因腹水的CT与腹腔镜联合诊断

CT combined with laparoscopy in the diagnosis of unknown origin ascites

目的探讨CT与腹腔镜联合诊断不明原因腹水的方法与应用价值。方法回顾分析6例不明原因腹水患者行CT与腹腔镜联合诊断的临床资料。结果 6例患者均明确诊断,其中4例为结核,1例为腹膜肿瘤,1例为假性肠梗阻。结论腹水的诊断是比较复杂的。术前对临床信息尤其是CT图像进行仔细分析,结合腹腔镜检查,可对不明原因腹水患者作出明确诊断。

Objective To investigate the method and value of CT combination with laparoscopy in the diagnosis of unknown origin ascites. Methods The clinical data of 6 patients who suffered from unknown origin ascites and diagnosed by CT combined with laparoscopy were retrospectively analyzed. Results All 6 patients were definitely diagnosed, including 4 cases of tuberculosis, 1 case of peritoneal tumor and I case of pseudo-intestinal obstruction. Conclusions The diagnosis of aseites is complex. Careful analysis of preoperative clinical data, especially CT image, combined with laparoscopy is helpful for definite diagnosis of patients with unknown origin ascites.