腹腔镜诊断女性盆腹腔结核12例报告

目的:分析腹腔镜对女性盆腹腔结核的诊断价值。方法:回顾性分析2001年9月~2006年3月在腹腔镜检查中发现的12例女性盆腹腔结核患者的诊治情况。结果:盆腹腔结核患者的影像学检查和实验室检查缺乏特异性,不能同相关疾病鉴别。典型的盆腹腔结核腹腔镜下的表现有特异性,其表现为:盆腹腔广泛的灰白色粟粒结节状病灶,米粒大小。遍布大网膜、肠管、腹壁和内生殖器表面,盆腔有粘连,腹腔存在不等量的淡黄色腹水。腹水分离阳性率低,取粟粒状病灶病检可得到确诊。结论:腹腔镜对盆腹腔结核的患者有诊断价值,依靠镜下所见可以作出临床诊断,结合活检病理报告可以确诊。

Laparoscopic diagnosis for female tuberculosis in abdominopelvic cavity:with a report of 12 cases

Objective:To explore the value of laparoscopic diagnosis for female patients with tuberculosis in abdominopelvic cavity.Methods:The data of 12 female patients with tuberculosis in abdominopelvic cavity diagnosed by laparoscopic technique from September 2004 to March 2006 were analyzed.Results:Specificity is low in diagnosis of imaging and lab test for patients with tuberculosis in abdominopelvic cavity which is difficult to identify.However laparoscopic diagnosis for typical tuberculosis in abdominopelvic cavity has a higher specificity which shows extensive gray tubercles like german millet located in surface of omenta,intestinal canal,abdominal wall and internal genitalia.There are adhesions and yellowish peritoneal fluid in abdominapelvic cavity.The positive rate of peritoneal fluid is very low and the patients were correctly diagnosed via biopsy of tubercles.Conclusions:Laparoscopic diagnosis is worthiness for patients with tuberculosis in abdominopelvic cavity.The surgeons can make a clinical diagnosis according to the view of laparoscope and can make a final diagnosis combined with biopsy.