CAJ | 학술논문

目的探讨两点注射垂体后叶素在腹腔镜下卵巢子宫内膜异位囊肿剥离术中的安全性和可行性.方法将86例行腹腔镜下卵巢子宫内膜异位囊肿剥离术患者分为研究组(术中在患侧宫角和输卵管系膜无血管区注射垂体后叶素)42例和对照组(未使用垂体后叶素)44例,比较两组患者的手术时间、术中出血量、术后最高体温、术后住院天数及复发率等.结果研究组和对照组的手术时间分别为(51.24±22.58)min和(67.02±25.14)min,术中出血量分别为(42.16±26.10)ml和(68.23±28.21)ml,差异均有统计学意义(P＜0.01);研究组和对照组的复发率分别为4.76%和11.36%,但差异无统计学意义(P＞0.05).两组术后最高体温和术后住院天数比较差异均无统计学意义(P＞0.05).结论腹腔镜下卵巢子宫内膜异位囊肿剥离术中应用垂体后叶素在患侧宫角及输卵管系膜无血管区注射,能减少术中出血量,缩短手术时间,并有降低复发率的可能,是一种安全、可靠、价廉、方便的方法,值得推广.
목적 탐토량점주사수체후협소재복강경하란소자궁내막이위낭종박리술중적안전성화가행성.방법 장86례행복강경하란소자궁내막이위낭종박리술환자분위연구조(술중재환측궁각화수란관계막무혈관구주사수체후협소)42례화대조조(미사용수체후협소)44례,비교량조환자적수술시간、술중출혈량、술후최고체온、술후주원천수급복발솔등.결과 연구조화대조조적수술시간분별위(51.24±22.58)min화(67.02±25.14)min,술중출혈량분별위(42.16±26.10)ml화(68.23±28.21)ml,차이균유통계학의의(P＜0.01);연구조화대조조적복발솔분별위4.76%화11.36%,단차이무통계학의의(P＞0.05).량조술후최고체온화술후주원천수비교차이균무통계학의의(P＞0.05).결론 복강경하란소자궁내막이위낭종박리술중응용수체후협소재환측궁각급수란관계막무혈관구주사,능감소술중출혈량,축단수술시간,병유강저복발솔적가능,시일충안전、가고、개렴、방편적방법,치득추엄.
Objective To evaluate the safety and the feasibility of hypophysin injection for hemostasis during laparoscopic stripping of ovarian endometrioma.Methods Retrospective analysis of 86 cases with ovarian endometrionm.Forty-two patients with prophylactic dilute hypophysin injection into cornua uterus and mesosalpinx(study group),and 44 patients without vasopressin(control group).The operative time,intraoperative blood loss,the highest postoperative temperature,postoperative stay and the rate of recurrence were compared.Results The operative time in the study group and the control group were(51.24±22.58)min and(67.02±25.14)min,the intraoperative blood loss were(42.16±26.10)ml and (68.23±28.21)ml,respectively.There was significantly different between two groups(P＜0.01).The rates of recurrence in the study group and the control group were 4.76% and 11.36%,respectively.But it was no significantly different between two groups(P＞0.05).Both the highest postoperative temperature and postoperative stay was no difference between two groups(P＞0.05).Conclusions Hypophysin can reduce the operative time and intraoperative blood loss during laparoscopic stripping of ovarian endometrioma,and it is possible to reduce the rate of recurrence.It is a safe,feasible,cheapand convenient method,and worth using in clinic.