Brailski K H
Vutr Boles. 1976 Dec;15(6):31-6.
Ascites was found in 772 (30,89%) from all the 2500 laparoscopy examined patients. Ascites was due to liver cirrhosis in 57.78 per cent of the patients, to peritoneum carcinosis in 26.29 per cent and to primary and metastatic liver carcinoma in 12.95 per cent, to tuberculous peritonitis in 1.42 per cent and more seldom to some other diseases. A reliable diagnosis of liver cirrhosis, malignant tumors and the rest of the liver diseases, progressing with ascites is made by laparoscopy. Laparoscopy with a biopsy of peritoneum and liver is of decisive importance in the differentiation of peritoneum carcinosis and tuberculosisé. The clinico-laboratory diagnosis in carcinosis coincides completely with the laparoscopic one, the histologic--in 24.5 per cent, partially in 45.5 per cent and in 30 per cent it fails completely to coincide.
在2500例接受腹腔镜检查的患者中，772例（30.89%）发现有腹水。腹水病因中，57.78%的患者是由于肝硬化，26.29%是由于腹膜癌，12.95%是由于原发性和转移性肝癌，1.42%是由于结核性腹膜炎，其他疾病导致腹水则较为少见。通过腹腔镜检查可以对肝硬化、恶性肿瘤以及其他伴有腹水的肝脏疾病做出可靠诊断。腹腔镜检查结合腹膜和肝脏活检对于鉴别腹膜癌和结核至关重要。癌性病变的临床实验室诊断与腹腔镜诊断完全相符的占24.5%，部分相符的占45.5%，完全不相符的占30%。
