腹腔镜探查在不明原因非门脉高压性腹水中的诊断价值

Diagnostic performance of laparoscopy in diagnosing unidentified nonportal hypertension-related ascites

[目的]探讨腹腔镜在腹水细胞学阴性的不明原因非门脉高压性腹水诊断中的价值和意义。[方法]回顾性分析行腹腔镜探查的腹水细胞学阴性的不明原因非门脉高压性腹水19例患者的临床资料。[结果]在腹水细胞学阴性的不明原因非门脉高压性腹水的诊断中,腹腔镜探查的诊断价值明显优于目前临床上运用的其他检查措施,其确诊率达78.95%。[结论]腹腔镜探查是腹水细胞学检查阴性的不明原因非门脉高压性腹水安全有效的诊断手段。

[Objective]To evaluate the value of laparoscopy in diagnosing unidentified nonportal hypertension-related ascites. [Methods]Medical records of 19 patients with ascites were retrospectively reviewed. All the patients with non-portal hypertension-related ascites received laparoscopy to identify the cause. [Results]Among the 19 patients with unidentified etiology, the etiology of 15 patients were defined, with 78.95% positive rate. In diagnosing non-portal hypertension-related ascited with unidentified etiology,the diagnostic value of laparoscopy was superior to that of other available approaches. Its diagnostic yield was 78.95%. [Conclusion]The laparoscopic exploration is a safe and accurate technique in the diagnosis of unidentified ascites with non portal hypertension.