多功能腹膜检查针的研制及临床应用研究

目的旨在提高腹水病因的诊断率和鉴别诊断率。方法自行研制多功能腹膜检查针并对临床上１５８例腹水患者进行检查。结果这种多功能腹膜检查针对４２例怀疑腹水由结核性腹膜炎引起的病理诊断率达９０．４８％；对４７例不明原因腹水的临床病因确诊率达６３．８３％；对２２例肝硬化伴腹痛和发烧怀疑原发性腹膜炎的确诊率达４０．９％，单纯腹水生化检查的诊断率只占１８．２％，前者明显优于后者；４５例原因不明腹水患者单纯腹水细胞学检查仅５例发现癌细胞，进行腹膜刷检后１３例找到癌细胞，显著优于腹水细胞学检查。结论多功能腹膜检查针对结核性腹水，癌性腹水和肝硬化合并原发性腹膜炎有重要的临床诊断价值，而且操作简单，在病床边即可检查，可在基层医院广泛使用。

Study on multifunctional peritoneal biopsy needle and its clinical application

Objective To increase the diagnostic rate and differential diagnosis. Method The etiology of ascities of 158 patients wene detected by multifunctional peritoneal biopsy needle(MPBN). Results In 42 cases with clinically suspected tuberculous peritonitis, accurate diagnostic rate was 90.48%. In 47 cases of ascites with uncertain etiology, 63.83% were correctly diagnosed. Among 22 cases of cirrhosis with fever and abdominal pain, primary peritonitis was diagnosed in 36.6%, but only 18.2% were diagnosed by conventional biochemical test. In 45 cases with ascites of uncertain etiology, cancer cells were found in 13 with peritoneal biopsy and only 5 with cytologic examination. Conclusion MPBN is very useful in diagnosis of TB peritonitis, carcinomatous ascites and primary peritonitis complicating cirrhosis. MPBN manever is simple, safe and convenient, it can be used in bedsidem.