摘要
目的 :评价诊断性腹腔镜检查在结核性腹膜炎的价值和安全性。方法 :对 1983年～ 2 0 0 1年 5 36例腹腔镜检查诊断为结核性腹膜炎的病例进行回顾性分析。结果 :有 5 2 7例患者成功行腹腔镜检查并确诊为结核性腹膜炎 (98.3% ) ,有 6例气腹失败 (1.1% ) ,有 3例因腹腔镜检查时肠管损伤行剖腹肠管修补术 (0 .6 % )。在5 36例病例中 ,渗出型有 6 7例 (12 .5 % ) ,粘连型有 183例 ,(34.1% ) ,干酪型 2 86例 (5 3.4 % )。粘连型腹腔镜检查失败率和并发症均明显高于渗出型和干酪型。结论 :腹腔镜检查是一种安全、诊断准确率高的检查方法 ,对结核性腹膜炎的诊断具有重要价值。
Objective:To assess the safety and efficacy of diagnostic laparoscopy in patients with tuberculous peritonitis. Methods:The data of 536 patients with tuberculous peritonitis diagnosed by laparoscopic examination from 1983～2001 were retrospectively analyzed.Results:Five hundred and twenty-seven diagnosed successfully by laparoscopic examination. Six cases failed (1. 1%) . Bowel injury occurred in 3 cases and required laparotomy ( 0.6% ). No obvious postoperative complications occurred. Of 536 patients, 67 were bleeding form (12.5%) ,183 were adherent form (34. 1%) , 286 were caseous form (53.4%) ,52 cases accompanied with cirrhosis of liver. Conclusions:Laparoscopy is a safe and accurate method of diagnosis of tuberculous peritonitis.
出处
《中国内镜杂志》
CSCD
2003年第7期19-21,共3页
China Journal of Endoscopy
关键词
结核性腹膜炎
腹腔镜检查
Tuberculous Peritonitis
Laparoscopic-examination
