为探讨腹腔镜检查对腹腔疑难病的诊断价值 ,对 2 70例腹腔疑难病例的腹腔镜检查结果进行回顾分析。结果显示腹腔镜检查的总确诊率为 82 .2 % (2 2 2 / 2 70 ) ,其中对腹水、腹痛、肝脾肿大、黄疸的确诊率分别为88.6 % (132 / 149) ,73 .2 % (6 0 / 82 ) ,85 .7% (18/ 2 1) ,10 0 % (11/ 11) ,腹腔镜检查的并发症发生率为 1.9% (5 /2 70 )。结论 :腹腔镜检查是一种安全、诊断率高、价廉的检查方法 ,对腹腔疑难病的诊断具有重要价值。 To investigate the value of laparoscopy in the diagnosis of intra-abdominal difficult diseases, the results of laparoscopy in 2 70 cases with intra-abdominal pain were analyzed retrospectively. The total diagnosis rate of laparoscopy was 82.2% (2 2/2/70). The diagnosis of ascites, abdominal pain, hepatosplenomegaly and jaundice were 88.6% (132/149), 73 respectively. The incidence of complications of laparoscopy was 1.9% (5/2 70). The incidence of complications was 2% (60/82), 85.7% (18/2) and 100% (11/11) respectively. Conclusion: Laparoscopy is a safe, high diagnostic rate, inexpensive method of examination, the diagnosis of intractable difficult diseases is of great value.