重庆医学2017，Vol.46Issue(12)：1619-1620,1623,3.DOI:10.3969/j.issn.1671-8348.2017.12.011
NOTES经胃入路诊断不明原因腹水的临床研究
Clinical research of transgastric approach transluminal endoscopic surgery in diagnosing unexplained ascites
唐静 1杨丹 1吴涛 1沈文拥 1卢丹萍 1魏沙 1薛焱 1杨美华 1刘爱民1
作者信息
摘要
Abstract
Objective To explore the clinical value of transgastric natural orifice transluminal endoscopic surgery(NOTES)in diagnosing unexplained ascites.Methods The clinical data in 12 cases of unexplained ascites diagnosed by adopting transgastric approach NOTES and performed abdominal exploration and peritoneal biopsy in our hospital from November 2015 to July 2016 were retrospectively analyzed.The operative risk and clinical application value were evaluated by statistically analyzing the postoperative complications occurrence and the diagnosis rate of disease.Results The definite diagnosis rate reached 100％ verified by pathology after abdominal exploration and peritoneal biopsy,in which 8 cases(66.7％)were tuberculous peritonitis,2 cases(16.7％)were liver cirrhosis,1 case(8.3％)was peritoneal mesothelioma,1 cases(8.3％)was peritoneal metastatic carcinoma;2 cases appeared abdominal pain after operation,including 1 case of neutrophil ratio increase,symptoms and persistent time of abnormal laboratory indexes did not exceed 24 h,the incidence rate was 8.3％;no complications of abdominal cavity infection,incision bleeding and puncture site fistula occurred.Conclusion The transgastric NOTES for conducting abdominal exploration and peritoneal biopsy in the diagnosis of unexplained ascites has the advantages of small trauma,less complications and rapid postoperative recovery,possesses an important clinical application value.关键词
经自然腔道内镜外科/经胃/腹膜活检/腹水Key words
natural orifice transluminal endoscopic surgery/transgastric/peritoneal biopsy/ascites分类
医药卫生引用本文复制引用
唐静,杨丹,吴涛,沈文拥,卢丹萍,魏沙,薛焱,杨美华,刘爱民..NOTES经胃入路诊断不明原因腹水的临床研究[J].重庆医学,2017,46(12):1619-1620,1623,3.
