腹膜活检对结核性腹膜炎的诊断价值

目的评价经皮腹腔穿刺腹膜活检对结核性腹膜炎的诊断价值。方法使用自动弹簧活检针对34例临床上考虑为结核性腹膜炎患者进行腹膜活检，并进行病理诊断。结果34例患者均经一次穿刺取出腹膜壁层组织，经病理证实结核性腹膜炎26例、转移性腺癌3例、恶性淋巴瘤1例和大致正常腹膜组织4例，一次穿刺活检成功率为100％，经活检明确腹水病因的诊断率为88．2％。结论腹膜活检对结核性腹膜炎诊断及鉴别诊断，有重要的临床诊断价值。

Value of percutaneous peritoneal biopsy in diagnosis of tuberculosis peritonitis

Objective To evaluate the value of percutaneous peritoneal biopsy in diagnosis of tuberculosis peritonitis.Methods 34 cases clinically considered tuberculosis peritonitis were biopsied with automatic spring biopsy needles and pathologic diagnosis was done.Results Tissues of peritoneal peritoneum were achieved respectively from each of the 34 cases of patients only by one puncture.There were tuberculosis peritonitis(n=26),adenocarcinoma metastatic(n=3),malignant lymphoma(n=1) and 4 cases were diagnosed roughly normal peritoneum.Biopsy success rate was 100%.88.2% of the cases were correctly diagnosed.Conclusion Percutaneous peritoneal biopsy is valuable in diagnosis and differential diagnosis of tuberculosis peritonitis.