Clinical Observation on Diagnostic Value of Abdominal Exploration for Tuberculous Peritonitis
LI Zhi-hua, ZHANG Jian, YE Jing, et al.
Traditional Chinese Medicine Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Haihe Hospital, Tianjin (300350), China
Abstract:
Objective To explore the value of abdominal exploration in the diagnosis of tuberculous peritonitis, and provide guidance for the clinic. Methods From January 1, 2010 to April 30, 2010, 37 patients with suspected tuberculous peritonitis were enrolled in the study. All patients with suspected tuberculous peritonitis underwent preoperative CT and abdominal exploration, among which 13 patients underwent laparoscopic exploration and 24 patients underwent open surgery. The results of the CT examination, abdominal exploration and postoperative pathological biopsy were compared to study the diagnosis of tuberculous peritonitis by abdominal exploration. Results The pathological findings of peritoneal biopsy by laparotomy were confirmed as tuberculous peritonitis, and one of them did not confirm tuberculous peritonitis. The sensitivity, specificity and total accuracy of laparoscopic exploration for tuberculous peritonitis were 90%, 100.00% and 97.30%, respectively. The sensitivity, specificity and total accuracy of CT diagnosis of tuberculous peritonitis were 60.00%, 50.00%, and 56.76%, respectively. The total accuracy of abdominal cavity exploration for diagnosis of tuberculous peritonitis was significantly higher than that of CT (P<0.05); the abdominal exploration could effectively diagnose tuberculous peritonitis, the total coincidence rate was 90.00%, and the results of abdominal exploration and the results of postoperative pathological biopsy were compared and found P>0.05. Conclusion Abdominal exploration for patients with tuberculous peritonitis is feasible and has a high accuracy rate, which can provide a basis for clinicians to analyze the condition.
