脂肪肝电视腹腔镜诊断与病理诊断相关性研究

The study of the relation between laparoscopic diagnosis and pathological diagnosis on fatty liver

目的 :探索腹腔镜诊断脂肪肝与病理诊断脂肪肝相关性。方法 :利用腹腔镜的直观性 ,在行腹腔镜胆囊切除手术时 ,对术前B超诊断为脂肪肝的 6 3例患者 ,做出腹腔镜下脂肪肝的诊断 ,并对肝脏进行图像采集 ,然后在肝表面切取小块肝组织进行病理检查 ,将病理结果与腹腔镜下诊断进行对比。结果 :腹腔镜诊断为轻度脂肪肝 2 2例 ,中度 2 9例 ,重度 8例 ,不是脂肪肝 4例。病理诊断为轻度脂肪肝 2 3例 ,中度 2 8例 ,重度 10例 ,有 2例不是脂肪肝 ,统计学分析显示 ,腹腔镜诊断脂肪肝与病理诊断脂肪肝符合率达 90 4 8%。结论 :腹腔镜可作为一种新的、直观的诊断脂肪肝方法。

Objective:To explore the laparoscopic diagnosis of fatty liver.Methods:Using the visual ability of laparoscope,the fatty liver was diagnosed by laparoscope during performing laparoscopic cholecystectomy,and get a bit of liver tissue for pathological examination,then comparing the laparoscopic diagnosis on fatty liver with the pathological result.59 cases were diagnosed as the fatty liver by laparoscope,62 cases were fatty liver by pathological diagnosis.Results:The accord rate of the diagnosis was well between laparoscopic diagnosis and pathological diagnosis on fatty liver by statistics anaylsis.Conclusions:Laparoscopy can be used as a new and visual diagnostic method on fatty liver.