细针穿刺腹腔灌洗在急腹症诊断中的应用

Fine-needle aspiration with peritoneal lavage in diagnosis of acute abdomen

目的 评估细针穿刺腹腔灌洗对急腹症诊断的有效性。方法 从 1987年 4月至 1998年 7月 ,对 10 2例急腹症病人进行细针穿刺腹腔灌洗 ,穿刺物分别进行肉眼、光镜观察或淀粉酶测定。结果 阳性结果 75例 ,阳性率 73 5% ,阴性结果 2 7例 ,阴性率 2 6 5% ;灌洗回收液混浊 ,镜检WBC或RBC >10～ 15/高倍镜的 62例病人经手术证实。结论 细针穿刺安全、简便易行 ,效果同常规置管腹腔灌洗相近 。

ObjectiveTo evaluate fine- needle aspiration with peritoneal lavage in the diagnosis of acute abdomen. Methods From April 1987 to July 1998, 102 patients underwent a clinical diagnosis of acute abdomen based on physical findings. All lavages were performed with fine needle, lavage fluid was analyzed for white or red bloo d cell counts and amylase. Results Of 102 patients,75 had positive result s and subsequent 62 patients were confirmed by laparotomy. White or red blood ce ll counts in the lavage fluid equal to or greater than 10～15/HP was associated w ith high probability of abdomen. Conclusion Fine needle periton eal lavage is rapid and safe for assessing the abdominal cavity in patients with susp ected acute abdomen.