CAJ | 학술논문

目的：探讨软式内窥镜胚胎性自然腔道手术（E-NOTES）检查对不明原因腹水的诊断价值。方法对2012年6月至2014年6月南京军区福州总医院收治的10例不明原因腹水的患者进行软式内镜经E-NOTES腹腔探查，并活检可疑组织行病理检查。结果10例患者均得以确诊，其中结核性腹膜炎5例，恶性间皮瘤2例，肝硬化1例，继发性腹膜癌1例，卵巢癌1例，所有患者术后7 d内恢复顺利，无并发症。结论软式内窥镜E-NOTES腹腔探查及活检检查安全性好、创伤小，对不明原因腹水的诊断有重要价值。
목적：탐토연식내규경배태성자연강도수술（E-NOTES）검사대불명원인복수적진단개치。방법대2012년6월지2014년6월남경군구복주총의원수치적10례불명원인복수적환자진행연식내경경E-NOTES복강탐사，병활검가의조직행병리검사。결과10례환자균득이학진，기중결핵성복막염5례，악성간피류2례，간경화1례，계발성복막암1례，란소암1례，소유환자술후7 d내회복순리，무병발증。결론연식내규경E-NOTES복강탐사급활검검사안전성호、창상소，대불명원인복수적진단유중요개치。
ObjectiveTo investigate the diagnostic value of E-NOTES exploration using flexible endoscope in patients with ascites of unknown origin.MethodsFrom June 2012 to June 2014,a total of 10 patients with ascites of unknown origin underwent E-NOTES exploration and biopsies were taken at suspected sites in the Fuzhou General Hospital of Nanjing Military Region.ResultsDefinite diagnosis was made in 10 patients after E-NOTES exploration,among which there were 5 cases of tuberculosis peritonitis,2 cases of metastatic peritoneal carcinoma,1 case of liver cirrhosis,1 case of ovary cancer,1 case of metastatic peritoneal carcinoma.No procedure-related complications were observed.ConclusionE-NOTES by flexible endoscope is safe and effective in exploration and target biopsy,and is important in diagnosing ascites of unknown origin.