细针穿刺腹腔灌洗在急腹症诊断中的应用

Fine-needle aspiration with peritoneal lavage in diagnosis of acute abdomen

关键词:  急腹症  细针穿刺  腹腔灌洗

Key words:  acute abdomen  Fine-needle aspiration  peritoneal lavage

摘要:

［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1992年5月～2002年5月，对102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27例，阴性率26.5%；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。

Abstract:

［Objective］ To evaluate fine-needle aspiration with peritoneal lavage in the diagnosis of acyte abdomen. ［Methods］ From May 1992 to May 2002, 102 patients underwent a clinical diagnosis of acute abdomen bases on physical findings. All lavages were performed with fine needle, lavage fluid was analyzed for white or red blood cell counts and amylase. ［Results］ Seventy-five had positive results and subsequent 62 patients were confirmed by laparotomy. White or red blood cell counts in the lavage fluid equal to or greater than 10～15/HP was associated with high probability of abdomen. ［Conclusion］ Fine needle peritoneal lavage is rapid and safe for assessing the abdominal cavity in patients with suspected acute abdomen.