Kortsik C, Winckelmann G, Beck K, Lütke A
Deutsche Klinik für Diagnostik, Wiesbaden.
Dtsch Med Wochenschr. 1987 Oct 23;112(43):1657-60. doi: 10.1055/s-2008-1068308.
The diagnostic value of laparoscopy with biopsy under vision was analysed retrospectively in 70 patients with persisting or recurrent fever of at least six weeks' duration which had remained unexplained despite detailed noninvasive studies. In 42 of these patients an intra-abdominal process had been suspected. The cause of fever was directly or indirectly diagnosed by the laparoscopy in 31 patients (44%), 29 of whom had clinical findings or abnormal biochemical results pointing to an involvement of abdominal organs. The most common laparoscopic diagnosis was granulomatous disease, isolated liver disease or malignant lymphoma. If clinical signs pointing to abdominal involvement are absent, laparoscopy is unlikely to aid in the diagnosis of fever of unknown origin.
对70例持续发热或反复发热至少6周的患者进行了回顾性分析，这些患者尽管进行了详细的无创检查，但仍病因不明。其中42例患者曾怀疑有腹腔内病变。通过腹腔镜检查直接或间接诊断出31例患者（44%）的发热原因，其中29例患者有临床症状或生化结果异常，提示腹部器官受累。最常见的腹腔镜诊断为肉芽肿性疾病、孤立性肝病或恶性淋巴瘤。如果没有指向腹部受累的临床体征，腹腔镜检查不太可能有助于不明原因发热的诊断。
