CAJ | 학술논문

目的：比较腹腔镜与开腹手术治疗良性卵巢囊肿的临床效果。方法选择2010年1月至2013年1月在我院住院治疗的良性卵巢囊肿患者60例，其中行腹腔镜手术治疗的30例卵巢囊肿患者设为观察组，其余30例设为对照组，对比观察两组患者的手术时间、术中出血量、术后肛门排气时间、住院时间及进行病理分类，观察比较囊肿的类型：卵巢单纯性囊肿、卵巢冠囊肿、巧克力囊肿、畸胎瘤。并观察记录术后发生皮下气肿、气体栓塞、大出血、脏器损伤和感染、大出血、发热、腹腔脏器粘连、腹痛等并发症情况。结果腹腔镜组的手术时间（68．1±3．7） min，明显短于对照组，腹腔镜组术中出血量（63．8±5．7） ml，明显少于对照组，观察组患者术后肛门排气时间（14．67±3．78）h，明显快于对照组，观察组患者术后住院时间（5．25±1．28）d，明显短于对照组。观察组患者无1例发生皮下气肿、气体栓塞、大出血、脏器损伤和感染等手术并发症。对照组出现发热4例，大出血3例，腹腔粘连2例，腹痛7例，感染2例，对照组术后并发症明显多于观察组（P＜0．05）。结论与开腹手术治疗良性卵巢囊肿的临床效果比较，腹腔镜手术具有创伤小、术中出血少、术后恢复快、并发症少等优点，值得广泛推广和应用。
목적：비교복강경여개복수술치료량성란소낭종적림상효과。방법선택2010년1월지2013년1월재아원주원치료적량성란소낭종환자60례，기중행복강경수술치료적30례란소낭종환자설위관찰조，기여30례설위대조조，대비관찰량조환자적수술시간、술중출혈량、술후항문배기시간、주원시간급진행병리분류，관찰비교낭종적류형：란소단순성낭종、란소관낭종、교극력낭종、기태류。병관찰기록술후발생피하기종、기체전새、대출혈、장기손상화감염、대출혈、발열、복강장기점련、복통등병발증정황。결과복강경조적수술시간（68．1±3．7） min，명현단우대조조，복강경조술중출혈량（63．8±5．7） ml，명현소우대조조，관찰조환자술후항문배기시간（14．67±3．78）h，명현쾌우대조조，관찰조환자술후주원시간（5．25±1．28）d，명현단우대조조。관찰조환자무1례발생피하기종、기체전새、대출혈、장기손상화감염등수술병발증。대조조출현발열4례，대출혈3례，복강점련2례，복통7례，감염2례，대조조술후병발증명현다우관찰조（P＜0．05）。결론여개복수술치료량성란소낭종적림상효과비교，복강경수술구유창상소、술중출혈소、술후회복쾌、병발증소등우점，치득엄범추엄화응용。
Objective To compare the laparoscopic and open surgery for benign ovarian cysts clinical results.Methods January 2010 -January 2013 in our hospital treated 60 patients with benign ovarian cysts , including laparoscopic surgery , 30 patients with ovarian cysts to the observation group , and the remaining 30 cases to the control group, contrast observed in patients with operative time , blood loss, postoperative anal exhaust time , hospitalization time and pathological classification , observation and comparison cyst types: simple ovarian cysts, ovarian cysts crown, chocolate cysts, teratomas.And observation of postoperative subcutaneous emphysema, air embolism, bleeding, organ damage and infection, bleeding, fever, abdominal adhesions, abdominal pain and other complications .Results Laparoscopic surgery time 68.1 ±3.7min, significantly shorter than the control group , the laparoscopic group blood loss 63.8 ±5.7ml, significantly less than the control group , the observation group patients flatus 14.67 ±3.78h, significantly faster than the control group , the observation group postoperative hospital stay 5.25 ±1.28d, significantly shorter than the control group .The patients no case of subcutaneous emphysema , air embolism, bleeding, organ damage and infection and other surgical complications.Control group, four cases of fever, bleeding in 3 cases, 2 cases of abdominal adhesions , abdominal pain seven cases , infection in 2 patients in the control group were significantly more complications in the observation group ( P <0.05).Conclusions Compared with open surgery for benign ovarian cysts comparison of clinical effects , laparoscopic surgery with less trauma , less bleeding , rapid postoperative recovery , fewer complications , should be popularized and applied .