腹腔镜探查女性不明原因腹腔积液30例临床分析

The analysis of the laparoscopy in 30 women with unknown ascites

目的研究腹腔镜探查对女性不明原因腹腔积液的诊断价值。方法回顾性分析该院2010年5月至2016年5月收治的30例不明原因腹腔积液患者行腹腔镜检查的临床及手术病理资料。30例患者均为女性，无明显内、外科疾病，经盆腔检查、影像学检查均未见明显异常，伴血清癌抗原125（cAl25）升高。结果30例患者中经腹腔镜探查确诊28例，其中原发性腹膜癌18例，卵巢癌7例，结核性腹膜炎3例；未确诊2例。结论腹腔镜探查对原因不明伴cAl25升高的女性腹腔积液待查患者在确诊和治疗中具有重要指导作用。对女性不明原因腹腔积液伴CAl25升高、影像学检查无异常的患者应警惕原发性腹膜癌或卵巢癌的可能，盆腔结核也不除外。

Objective To investigate the diagnostic value of the laparoscopic exploration in women with ascites of unknown ori- gin. Methods 30 female patients with unknown ascites and elevated serum CA125 parallel laparoscopy in Shanghai Tongji Hospital from May 2010 to May 2016 were retrospectively analyzed. They had no obvious medical and surgical diseases, no obvious abnormal pelivic examination and imaging examination. Results After laparoscopic exploration,28 cases were diagnosed,including 18 cases of primary peritoneal carcinoma,7 cases of ovarian cancer,3 cases of tuberculous peritonitis. Conclusion Laparoscopic is a valuable means for assessing the female patients with unknowm ascites and elevated serum CA125. It should be vigilant of primary peritoneal carcinoma or ovarian cancer for these patients.