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目的:探讨以腹水为主要表现疾病的病因、临床特点并提供诊断方法。方法:回顾性分析了2004年5月～2008年9月319例腹水病例的临床资料。结果:319例腹水病例中确诊病因主要是肝硬化(50.16%),癌性腹水(24.14%),结核性腹膜炎(13.79%),其它病因(11.91%);癌性腹水中消化系统肿瘤占59.25%。4组之间腹水有核细胞数、腹水LDH、SAAG平均值差别具有统计学意义;血清及腹水中CA125、CA19一9浓度在良恶性腹水中差别不大;而腹水CEA浓度在良恶性腹水中有一定差别。结论:(1)本研究腹水的病因诊断前3位依次为肝硬化、癌性腹水、结核性腹膜炎,癌性腹水以消化道肿瘤占多数。(2)SAAG在鉴别腹水查因时具有一定临床意义。(3)血清及腹水CEA检测在良恶性腹水诊断中有一定意义。
Objective: To investigate the etiology, clinical features and diagnosis of ascites. Methods: The clinical data of 319 cases of ascites from May 2004 to September 2008 were retrospectively analyzed. Results: Among the 319 cases of ascites, the main causes of diagnosis were cirrhosis (50.16%), cancerous ascites (24.14%), tuberculous peritonitis (13.79%) and other causes (11.91%); cancerous ascitic tumors accounted for 59.25 %. The number of ascites nucleated cells, the average difference of ascites LDH and SAAG between the four groups were statistically significant. The concentrations of CA125 and CA19-9 in serum and ascites were not significantly different between benign and malignant ascites. The CEA concentration of ascites in benign and malignant ascites There is a certain difference. Conclusions: (1) The first three cases of etiological diagnosis of ascites in this study were cirrhosis, cancerous ascites, tuberculous peritonitis and cancerous ascites with the majority of gastrointestinal tumors. (2) SAAG in the identification of ascites Charm has some clinical significance. (3) Serum and ascites CEA test in the diagnosis of benign and malignant ascites have a certain significance.