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腹腔镜探查术诊治不明原因腹水的价值(附35例报告)

祁亚斌 高校奇 金雷 李东 郝君锋

腹腔镜外科杂志2012,Vol.17Issue(5):380-381,2.
腹腔镜外科杂志2012,Vol.17Issue(5):380-381,2.

腹腔镜探查术诊治不明原因腹水的价值(附35例报告)

The value of laparoscopic exploration in the diagnosis of agnogenic ascites: with a report of 35 cases

祁亚斌 1高校奇 1金雷 1李东 1郝君锋1

作者信息

  • 1. 西安市第九医院,陕西西安,710054
  • 折叠

摘要

Abstract

Objective:To assess the value of laparoscopic exploration in the diagnosis of agnogenic ascites. Methods:The clinical data of 35 patients with agnogenic ascites undergoing diagnostic laparoscopic abdominal exploration and biopsy from Jan. 2005 to Dec. 2010 were retrospectively analyzed. Results: All operations were successfully performed. The mean blood loss was 10 ml and the median operative time was 23 min. No obvious postoperative complications occurred. The etiological factors of 34 cases were identified by pathologic diagnosis and immunohistochemisUy. The total definite diagnostic rate was 97.1%. Of 34 patients,20 cases were tuberculous peritonitis, 12 cases were abdominal cavity malignant tumor (4 cases of peritoneal mesothelioma,4 cases of metastatic adenoma,2 cases of ovarian cancer and 2 cases of lymphoma) ,and 2 cases were cirrhosis of liver. Conclusions: Laparoscopic exploration for agnogenic ascites is safe,efficient,minimally invasive,and with high definite diagnostic rate,but laparoscopic exploration could not replace routine examination.

关键词

腹水/腹腔镜检查/诊断

Key words

Ascites/ Laparoscopy/ Diagnosis

分类

医药卫生

引用本文复制引用

祁亚斌,高校奇,金雷,李东,郝君锋..腹腔镜探查术诊治不明原因腹水的价值(附35例报告)[J].腹腔镜外科杂志,2012,17(5):380-381,2.

腹腔镜外科杂志

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