腹腔镜对结核性腹膜炎病变的诊断意义

Diagnostic significance by laparoscope for tuberculous peritonitis lesion

目的分析腹腔镜对结核性腹膜炎的诊断意义。方法回顾性分析22例结核性腹膜炎患者采用腹腔镜检查的临床资料。结果 22例患者均在腹腔镜下完成取活组织检查过程,术后不需要对患者进行镇痛,4 h后饮食即可恢复,同时拔除尿管,术后第1天可下床活动,全部患者术后无皮下气肿、伤口发生感染及化学性腹膜炎等情况。结论腹腔镜检查对结核性腹膜炎的检查具有重要价值,值得临床上推广。

Objective To analyze diagnostic significance by laparoscope for tuberculous peritonitis. Methods Clinical data of 22 patients tuberculous peritonitis receiving laparoscope examination were retrospectively analyzed. Results All the 22 cases received laparoscopic biopsy, without postoperative analgesia. After 4 h they had recovered diet and urinary catheter removal. All cases had off-bed activity in postoperative 1 d, without any subcutaneous emphysema, wound infection and chemical peritonitis. Conclusion Laparoscope contains important value in examination of tuberculous peritonitis, and it is worth clinical promotion.