经胃内镜下腹腔探查术诊断不明原因腹水的价值初探

Transgastric peritoneoscopy for ascites of unknown aetiology

目的初步探讨经胃内镜下腹腔探查术对不明原因腹水的诊断价值。方法对7例不明原因腹水患者行经胃内镜下腹腔探查术，记录诊断结果及并发症发生情况。结果7例不明原因腹水患者均获得明确诊断，其中6例（85．7％）诊断为结核性腹膜炎，另1例（14．3％）诊断为肝性腹水。7例患者术后均恢复良好，均未出现与经胃内镜下腹腔探查术相关的并发症。结论经胃内镜下腹腔探查术对于不明原因腹水是一种确诊率较高的诊断方法。

Objective To investigate the diagnostic value of transgastic peritoneoscopy for ascites of unknown aetiology. Methods Transgastric peritoneoscopy was performed on 7 patients with ascites of unknown aetiology. Diagnosis and complications were both recorded. Results Diagnosis of all the 7 patients were confirmed after transgastric peritoneoscopy, among whom 6 （ 85.7% ） were found to have tuberculosis peritonitis, and 1 （14. 3% ） with liver disease. All patients recovered after the operation. No intraoperative or postoperative complications occurred. Conclusion Transgastric peritoneoscopy is a valuable diagnostic method for ascites of unknown aetiology.