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经胃内镜下腹腔探查术诊断不明原因腹水的价值初探

(2014-10-22 12:24:19)

    【摘要】

    目的  探讨经胃内镜下腹腔探查术对不明原因腹水的诊断价值。

    方法  7例不明原因腹水患者行经胃内镜下腹腔探查术,记录诊断结果及并发症发生情况。

    结果  7例不明原因腹水患者均获得明确诊断,其中6例(85.7%)诊断为结核性腹膜炎,另一例(14.3%)诊断为肝性腹水。7例患者术后均恢复良好,均未出现与经胃内镜下腹腔探查术相关的并发症。

    结论  经胃内镜下腹腔探查术对于不明原因腹水是一种确诊率较高的诊断方法。

    【关键词】经自然腔道内镜手术;不明原因腹水


    Transgastric peritoneoscopy for ascites of unknown aetiology. CAI Jian-qun, ZHI Fa-chao, BAI Yang, LIU Si-de, GONG Wei, JIANG Bo. Department of GastroenterologyNanfang HospitalSouthern Medical UniversityGuangzhou 510515China

    Corresponding author: JIANG BoEmaildrjiang@163.com

    AbstractObjective  To investigate the diagnostic value of transgastic peritoneoscopy for ascites of unknown aetiology. Method  Transgastric peritoneoscopy was performed on 7 patients with ascites of unknown aetiology. Diagnosis and complications were both recorded. Results  Diagnosis of all the 7 patients were confirmed after transgastric peritoneoscopy, among whom 6 (85.7%) were found to have tuberculosis peritonitis, and 1 (14.3%) with liver disease. All patients recovered after the operation. No intraoperative or postoperative complications occurred. Conclusion  Transgastric peritoneoscopy is a valuable diagnostic method for ascites of unknown aetiology.

    Key words Natural orifice transluminal endoscopic surgeryAscites of unknown aetiology

     

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个人资料
    刘思德 单位:南方医科大学南方医院
    所属科室:消化科
    出生:1916-12-01
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