CAJ | 학술논문

目的：探讨腹腔镜手术和开腹手术治疗盆腔炎性包块的临床效果。方法：选取我院2012年1月-2013年7月因盆腔炎性包块而行手术治疗患者68例，其中34例行腹腔镜手术，34例行开腹手术。比较其住院天数、疾病种类、手术和术后恢复情况。结果：腹腔镜手术和开腹手术相比较，两组手术时间及所用抗生素种类、剂量、时间差异无显著性（P＞0．05）。腹腔镜手术组术中出血量少于开腹组；术后排气时间、体温恢复到正常时间、血象恢复时间、住院时间均短于开腹手术组，差异有显著性（P＜0．05）。结论：腹腔镜手术治疗盆腔炎性包块明显优于开腹手术，具有较好的临床应用价值。
목적：탐토복강경수술화개복수술치료분강염성포괴적림상효과。방법：선취아원2012년1월-2013년7월인분강염성포괴이행수술치료환자68례，기중34례행복강경수술，34례행개복수술。비교기주원천수、질병충류、수술화술후회복정황。결과：복강경수술화개복수술상비교，량조수술시간급소용항생소충류、제량、시간차이무현저성（P＞0．05）。복강경수술조술중출혈량소우개복조；술후배기시간、체온회복도정상시간、혈상회복시간、주원시간균단우개복수술조，차이유현저성（P＜0．05）。결론：복강경수술치료분강염성포괴명현우우개복수술，구유교호적림상응용개치。
Objective :to study the laparoscopic surgery and open surgery for the clinical effect of pelvic inflammatory mass .Methods :Selection from January 2012 ,a 2013 July because of pelvic inflammatory masses and surgical treatment ,68 cases of patients ,34 of them underwent laparoscopic sur-gery ,34 underwent laparotomy .Compare the number of days in hospital ,the type of disease ,surgery and postoperative recovery .Results :laparoscopic surgery compared with open operation ,two groups of operation time and the types of antibiotics used ,dosage ,there was no significant difference of time (P>0 .05) .Laparoscopic surgery group intraoperatie blood loss less than laparotomy group .Exhaust time ,postoperative body temperature re-turned to normal time ,blood picture recovery time ,length of hospital stay were shorter than open surgery group ,with significant difference (P<0.05) .Conclusions :laparoscopic surgery for pelvic inflammatory bag piece is superior to laparotomy ,has good clinical application value .