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[目的]探讨腹腔镜在腹水细胞学阴性的不明原因非门脉高压性腹水诊断中的价值和意义。[方法]回顾性分析行腹腔镜探查的腹水细胞学阴性的不明原因非门脉高压性腹水19例患者的临床资料。[结果]在腹水细胞学阴性的不明原因非门脉高压性腹水的诊断中,腹腔镜探查的诊断价值明显优于目前临床上运用的其他检查措施,其确诊率达78.95%。[结论]腹腔镜探查是腹水细胞学检查阴性的不明原因非门脉高压性腹水安全有效的诊断手段。
[Objective] To investigate the value and significance of laparoscopy in the diagnosis of ascites-negative non-portal hypertensive ascites. [Methods] The clinical data of 19 patients with unexplained non-portal hypertensive ascites due to laparoscopic exploration of ascites cytology were retrospectively analyzed. [Results] In the diagnosis of ascitic cytology-negative unexplained non-portal hypertension ascites, the diagnostic value of laparoscopy was significantly better than the other clinical measures currently used in the diagnosis, the diagnosis rate of 78.95%. [Conclusion] Laparoscopic exploration is a safe and effective diagnostic method of ascites cytology-negative non-portal non-hypertensive ascites.