腹腔镜检查对不明原因腹水诊断价值分析

目的:探讨腹腔镜在不明原因腹水诊断的应用价值。方法:回顾分析2009年至2013年我院50例不明原因腹水的腹腔镜检查手术。结果:50例患者经腹腔镜检查组织活检后48例明确诊断,其中结核性腹膜炎22例,腹腔恶性肿瘤12例,腹腔间质来源肿瘤4例,附件、盆腔感染积4例,化脓性腹膜炎、肝硬化腹水和克隆恩病各2例,确诊率96%。结论:腹腔镜检查在不明原因腹水检查中确诊率高,创伤较小。

Objective： To explore the application value of laparoscopy in diagnosis of ascites of unknown causes. Methods： retrospective analysis of laparoseopie operation from 2009to 2013 in our hospital 25 patients with aseites of unknown causes. Results： 25 patients diagnosed 24 cases of laparoscopic biopsy （ including 11 cases of tuberculous peritonitis, 6 cases of abdominal malignant tumor （ multiple metastasis ）, 2 cases of abdominal tumor of mesenehym＇,d origin, attachments, pelvic infection empyema in 2 cases, 1 cases with liver cirrhosis, 1 cases of suppurative peritonitis, 1 cases Crohn＇s disease）, diagnosis rate 96%. Conclusion： laparoscopic examination in the examination of ascites of unknown origin is intuitive, high diagnostic accuracy, an examination of minor trauma.