结核性腹膜炎116例诊断方法分析

目的分析结核性腹膜炎的临床特点,探讨其诊断方法。方法回顾性分析临床确诊的116例结核性腹膜炎病例。结果各检查诊断阳性率分别为：腹部CT增强扫描60.3%,腹水ADA79.0%,腹水SAAG50.6%,腹水结核菌检查38.3%。结论腹水ADA对结核性腹膜炎诊断的阳性率较高,应结合临床综合加以诊断。

Analysis on the diagnostic method of tuberculosis peritonitis in 116 cases

Objective To analyse the clinical features of tuberculous peritonitis, and to explore the diagnostic method. Methods Retrospective analysis 116 cases of clinically diagnosed cases of tuberculous peritonitis. Results The positive rate of diagnosis： Abdomen CT examinations were positive in 60.3%. Activity of ascites adenosine deam inase（ADA） increased in 79.0% ascites SAAG were positive in 50.6%. Ascites TB examination were positive in 38.3%. Conclusion The positivity rate of ADA is higher than other methods.Diagnosis of tuberculous peritonitis should be integrated with the clinical diagnosis.