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目的探讨腹腔镜在女性不明原因腹水中的诊断价值。方法 2006年9月至2011年9月浙江大学医学院附属第二医院妇科对32例女性不明原因腹水在全麻下行腹腔镜探查,并取可疑组织送病理检查。结果腹腔镜探查阳性29例,阳性率90.6%,其中结核性腹膜炎12例,卵巢恶性肿瘤7例(卵巢浆液性上皮癌5例,卵巢黏液性上皮癌2例),转移性腺癌5例(胰腺癌3例,结肠癌1例,原发病灶不明1例),腹膜间皮瘤2例,肝硬化1例,阑尾黏液性囊腺瘤1例,结肠淋巴漏1例。阴性3例。结论腹腔镜检查是一种安全、有效,确诊率高的诊断方法。通过镜下观察及活检可以明确腹水的病因。
Objective To explore the value of laparoscopy in the diagnosis of asymptomatic ascites in women. Methods From September 2006 to September 2011, 32 cases of unexplained ascites in women underwent gynecology at the Second Affiliated Hospital of Zhejiang University School of Medicine underwent laparoscopy under general anesthesia and sent for pathological examination with suspicious tissues. Results There were 29 cases positive for laparoscopy, the positive rate was 90.6%. There were 12 cases of tuberculous peritonitis, 7 cases of malignant ovarian tumor (5 cases of ovarian serous epithelial carcinoma, 2 cases of ovarian mucinous epithelial carcinoma), 5 cases of metastatic adenocarcinoma 3 cases of cancer, 1 case of colon cancer and 1 case of primary lesion), 2 cases of peritoneal mesothelioma, 1 case of cirrhosis, 1 case of mucinous cystadenoma of the appendix and 1 case of lymphatic leakage of the colon. Negative in 3 cases. Conclusion Laparoscopy is a safe, effective and high diagnostic rate. By microscopic observation and biopsy can clear the etiology of ascites.