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目的 评估细针穿刺腹腔灌洗对急腹症诊断的有效性。方法 从 1987年 4月至 1998年 7月 ,对 10 2例急腹症病人进行细针穿刺腹腔灌洗 ,穿刺物分别进行肉眼、光镜观察或淀粉酶测定。结果 阳性结果 75例 ,阳性率 73 5% ,阴性结果 2 7例 ,阴性率 2 6 5% ;灌洗回收液混浊 ,镜检WBC或RBC >10～ 15/高倍镜的 62例病人经手术证实。结论 细针穿刺安全、简便易行 ,效果同常规置管腹腔灌洗相近 ,是值得推广使用的一种有价值的诊断手段
Objective To evaluate the effectiveness of fine needle aspiration in the diagnosis of acute abdomen. Methods From April 1987 to July 1998, 102 cases of patients with acute abdomen were treated by fine needle puncture and peritoneal lavage. The puncture was observed by naked eye, light microscope or amylase respectively. Results The positive results were 75 cases, the positive rate was 73.5%, the negative results were 27 cases and the negative rate was 26.5%. 62 patients with turbidity of lavage solution recovery, microscopic examination of WBC or RBC> 10-15 / high magnification were confirmed by surgery . Conclusion Fine needle puncture is safe, simple and easy to operate, and the effect is similar to that of conventional laparotomy. It is a valuable diagnostic tool worthy of promotion