腹腔镜、腹腔穿刺液细胞学和影像学检查对腹部疾病诊断的比较
The value of laparoscopy, ascites cytology and scanning techniques in the diagno ses of complicated abdominal diseases<<中华普通外科杂志 >>2001年03期
马永福 , 张海蓉 , 刘文斌 , 李桂萍 , 段丽萍 , 崔蓉 , 李树安 , 秦兴陆 , 周曾芬
目的 探讨诊断性腹腔镜对疑难性腹部疾病的诊断价值。方法 对31例临床难以诊断的腹痛、腹水和腹部肿块患者进行电视腹腔镜下检查和活检，并对腹腔镜、腹腔穿刺液细胞学和影像学检查诊断分级进行比较。结果 31例腹腔镜检查均获成功，经活检病理组织学检查30例明确诊断，确诊率达97%。并发现罕见腹部疾病11例(36%)。腹腔镜分级诊断的Ⅰ级诊断率(97%)明显高于腹腔穿刺液细胞学和影像学诊断率(10%和19%)(P均<0.01)。结论 腹腔镜检查是不明原因腹痛、腹水和腹部肿块病因诊断的一种确诊率最高、安全和快速的方法。
Objective To explore the value of diagnostic laparoscopy on theetiology of complicated abdominal diseases. Methods 31 complicated cases with abdomin al pain,ascites and abdominal mass underwent video laparoscopy and biopsy, the c omparision in diagnostic grades between laparoscopy, ascites cytology and scann ing techniques was done. Result Al l cases underwent laparoscopy successfully and 97%cases were diagnosed clearly by biopsy and histology， in which the cause of 11 cases（3 6%）were rare. The grade Ⅰdiagnostic rate of laparoscopy(97%) was higher than ascites cytology(10%) and scanning techniques (19%)(all P<0.01 ). Conclusions Diagnostic laparo scop y is a highly accurate and safe method for the diagnosis of complicated abdomina l diseases presenting with abdominal pain, ascites and abdominal mass.
关键词： 腹腔镜检查 , 细胞学 , 诊断
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