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本文对1981年1月～1990年12月的255例结核性腹膜炎(结腹)作一临床分析。临床资料本组255例,男女之比为1:2.86。临床表现以腹痛、发烧、腹部压痛及柔韧感多见。其中120例共148个脏器合并腹膜外结核,以胸膜结核(38.5％)为最多见,其次为盆腔、肺及肠结核等。B超检查145例。其中腹水阳性86例,腹膜不均匀增厚58例,二者同时存在41例。肠管固定粘连,活动差18例。本组病例经腹腔镜确诊23例,手术确诊41例。
This article from January 1981 to December 1990 of 255 cases of tuberculous peritonitis (nodules) for a clinical analysis. Clinical data 255 cases in this group, male to female ratio of 1: 2.86. Clinical manifestations of abdominal pain, fever, abdominal tenderness and more common sense of flexibility. Among them, 120 cases of 148 organs combined with extraperitoneal tuberculosis, with pleural tuberculosis (38.5%) as the most common, followed by pelvic, lung and intestinal tuberculosis. B-ultrasound examination of 145 cases. Among them, 86 cases were positive in ascites and 58 cases were inhomogeneous peritoneal thickening. There were 41 cases both at the same time. Intestinal fixation adhesions, 18 cases of poor activity. The group of patients diagnosed by laparoscopy in 23 cases, 41 cases diagnosed by surgery.