| CT引导下腹膜活检对不明原因腹水的诊断价值 |
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| 引用本文： | 姚运河,乔晓春,王启志,朱波,王利明. CT引导下腹膜活检对不明原因腹水的诊断价值[J]. 解剖与临床, 2008, 13(3): 187-188 |
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| 作者姓名： | 姚运河 乔晓春 王启志 朱波 王利明 |
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| 作者单位： | 安徽省蚌埠市第一人民医院消化内科,233000 |
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| 摘 要： | 目的：探讨CT引导下经皮腹膜穿刺活检对原因不明腹水的诊断价值 方法：在CT引导下对不明原因腹水患者增厚的腹膜穿刺活检并行病理组织学检查。6例患者共行7次穿刺，每次取2-3块腹膜壁层组织。结果：6例中经活检明确腹水原因，其中经病理证实结核性腹膜炎3例，转移性腺癌2例；另1例无明确意义（大致正常腹膜组织）。结论：经皮腹膜穿刺活检对不明原因腹水的诊断，特别是对结核性腹膜炎和腹膜肿瘤的鉴别诊断具有重要的价值。
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| 关 键 词： | 腹水 CT 腹膜活检 |
| 文章编号： | 1671-7163(2008)03-0187-02 |
| 修稿时间： | 2008-01-30 |
Diagnostic Value of the CT-guided Percutaneous Biopsy of Peritoneum for Unknown Ascites |
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| YAO Yun-he,QIAO Xiao-chun,WANG Qi-zhi,ZHU Bo,WANG Li-ming. Diagnostic Value of the CT-guided Percutaneous Biopsy of Peritoneum for Unknown Ascites[J]. Anatomy and Clinics, 2008, 13(3): 187-188 |
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| Authors: | YAO Yun-he QIAO Xiao-chun WANG Qi-zhi ZHU Bo WANG Li-ming |
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| Affiliation: | (Department of Gastmenterology, the First People Hospital of Bengbu, Anhui233000,China) |
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| Abstract: | Objective:To discuss the diagnostic value of CT-guided percutaneous biopsy of peritoneum for unknown ascites. Methods:The CT-guided biopsy for the incrassated peritoneum induced by ascites of unknown origin were performed on six cases. 2-3 pieces of peritoneal tissues were obtained respectively from each patients for histopathologic examination. Results:The etiology of ascites was ascertained as tuberculous peritonitis (n=3) and adenocarcinoma metastatic (n=2) by pathological examination in six cases. Another one was not diagnosed finally for roughly normal peritoneal tissues.Conclusion:The CT-guided percutaneous biopsy of peritoneum has an important diagnostic value for unknown ascites,especifically for differential diagnosis of tuberculous peritonitis and malignant aseites. |
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| Keywords: | Ascites CT Biopsy of peritoneum |
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