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腹腔细导管抽吸细胞学检查有助于改善对急性腹痛疑难病例的决策。

Fine-catheter aspiration cytology of peritoneal cavity improves decision-making about difficult cases of acute abdominal pain.

作者信息

Stewart R J, Gupta R K, Purdie G L, Isbister W H

出版信息

Lancet. 1986;2(8521-22):1414-5. doi: 10.1016/s0140-6736(86)92731-5.

DOI:10.1016/s0140-6736(86)92731-5
PMID:2878273
Abstract

Fine-catheter aspiration cytology of the peritoneal cavity was successfully undertaken in 25 of 27 hospital inpatients with acute abdominal pain because it was not clear whether they required urgent laparotomy. Cytological specimens were prepared by the cyto-sieve technique. The main test criterion was the percentage of neutrophils in the peritoneal cell sample. The decision before the test about urgent laparotomy was correct in 14 of the 27 patients, whereas the decision after the test was correct in 26 of the 27 patients (p = 0.001). 4 patients were saved unnecessary laparotomy and 8 further delay in laparotomy.

摘要

对27名因急性腹痛住院且不确定是否需要紧急剖腹手术的患者中的25名成功进行了腹腔细导管抽吸细胞学检查。细胞学标本采用细胞筛技术制备。主要检测标准是腹腔细胞样本中中性粒细胞的百分比。27例患者中,术前关于紧急剖腹手术的决策在14例中正确,而术后决策在27例中的26例正确(p = 0.001)。4例患者避免了不必要的剖腹手术,另有8例剖腹手术延迟。

相似文献

1
Fine-catheter aspiration cytology of peritoneal cavity improves decision-making about difficult cases of acute abdominal pain.腹腔细导管抽吸细胞学检查有助于改善对急性腹痛疑难病例的决策。
Lancet. 1986;2(8521-22):1414-5. doi: 10.1016/s0140-6736(86)92731-5.
2
Fine catheter peritoneal cytology for the acute abdomen: a randomized, controlled trial.用于急腹症的细导管腹膜细胞学检查:一项随机对照试验。
Aust N Z J Surg. 1988 Dec;58(12):965-70. doi: 10.1111/j.1445-2197.1988.tb00102.x.
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Evaluation of fine catheter aspiration cytology of the peritoneum as an adjunct to decision making in the acute abdomen.评估腹膜细导管抽吸细胞学检查作为急腹症决策辅助手段的价值。
Br J Surg. 1990 Jan;77(1):86-7. doi: 10.1002/bjs.1800770130.
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Peritoneal neutrophilia: a potential indicator of the surgical acute abdomen.腹膜中性粒细胞增多:外科急腹症的潜在指标。
Aust N Z J Surg. 1984 Dec;54(6):565-8. doi: 10.1111/j.1445-2197.1984.tb05447.x.
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An appraisal of peritoneal lavage in the diagnosis of the acute abdomen.腹腔灌洗在急腹症诊断中的评估
Br J Surg. 1975 Feb;62(2):119-20. doi: 10.1002/bjs.1800620210.
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Fine-catheter peritoneal cytology in the management of acute abdominal pain.
Br J Surg. 1994 May;81(5):684. doi: 10.1002/bjs.1800810518.
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Polymorphonuclear count in ascitic fluid after laparotomy in cirrhotic patients.
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The value of D-dimer test in the diagnosis of patients with nontraumatic acute abdomen.
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Quantitative peritoneal lavage in evaluating acute abdominal pain of gynecological origin.定量腹腔灌洗在评估妇科源性急性腹痛中的应用
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引用本文的文献

1
Correlation of peritoneal aspiration cytology with acute appendicitis.腹腔穿刺细胞学检查与急性阑尾炎的相关性
Ir J Med Sci. 1993 Aug;162(8):306-8. doi: 10.1007/BF02960725.
2
Which patients with suspected appendicitis should undergo laparoscopy?哪些疑似阑尾炎的患者应接受腹腔镜检查?
Br Med J (Clin Res Ed). 1988 May 14;296(6633):1363-4. doi: 10.1136/bmj.296.6633.1363-a.
3
Prospective scenarios: a method of evaluating new decision tools.
World J Surg. 1989 May-Jun;13(3):277-80. doi: 10.1007/BF01659034.
4
Strategies for reducing inappropriate laparotomy rate in the acute abdomen.降低急腹症患者不适当剖腹手术率的策略。
BMJ. 1991 Nov 2;303(6810):1115-8. doi: 10.1136/bmj.303.6810.1115.
5
Non-specific abdominal pain: the resource implications.非特异性腹痛:资源影响
Ann R Coll Surg Engl. 1992 Sep;74(5):375.