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腹腔镜检查对131例腹水的诊断价值 被引量:1

Diagnostic value of laparoscopic examination in ascetics
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摘要 目的 探讨腹腔镜检查对腹水的诊断价值。方法 对 1983~ 2 0 0 1年 131例难诊断性腹水患者的腹腔镜检查结果进行回顾性分析。结果 腹腔镜检查的总确诊率为 96 9% ,其中结核性腹膜炎 6 7例 (5 1 1% ) ,腹膜恶性肿瘤 31例 (2 3 7% ) ,肝硬化 2 7例 (2 0 6 % ) ,化脓性腹膜炎 2例 (1 5 % )。腹腔镜检查的并发症发生率为 0。结论 腹腔镜检查是一种安全、诊断率高、可行的检查方法 。 Objective To investigate the diagnostic value of lapa ro scopic examination in ascetics.Methods The data of 131 patients w ith ascetics difficult to diagnosis undergoing laparoscpic examination from 1983 ~2001 were retrospectively analyzed.Results The total definite d i agnostic rate was 96 9%.Of 127 patients,51.1% were tuberculos peritonitis,23.7% were malignant tumor of peritonaeum, 20.6% were cirrhosis of liver,1.5% wre pur ulent peritonitis.No obvious postoperative complications occurred.Conclu sion Laparoscopic examination is a safe method with high definite diagnos tic rate and low priced, it have important values in diagnosis of difficult diag nostic ascetics.
出处 《重庆医学》 CAS CSCD 2002年第7期583-584,共2页 Chongqing medicine
关键词 腹腔镜检查 腹水 诊断 ascetics laparoscopic examination
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参考文献3

  • 1[1]Classen M, Zillinger C, Frimberger E. Diagnostic laparoscopy:let's do it again[J].Gastrointestinal Endosc,1999,50(2):297.
  • 2[2]Gerhart CD. Needleoscopic placement of Tenckhoff catheters[J].JSLS,1999,3(2):155.
  • 3[3]Ahmad M, Ahmed A. Tuberculous peritonitis:fatality associated with delayed diagnosis[J].South Med J,1999,92(4):406.

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