CAJ | 학술논문

目的：探索一种便捷地实施腹腔镜下卵巢囊肿剔除术的方法。方法回顾性分析56例采用一种新型的腹腔镜卵巢囊肿分离钳进行卵巢囊肿剔除术病例，将其作为研究组，选取同时期常规器械行腹腔镜卵巢囊肿剔除术病例62例作为对照组，比较两组手术时间、术中出血量及术者对器械的使用感受。结果研究组与对照组的手术时间分别为（47.6±19.7）min及（64.1±26.7）min（P＜0.01）；术中出血量分别为（36.9±43.8）ml及（58.9±55.1）ml（P＜0.05）；新型卵巢囊肿分离钳与传统器械相比，在钳夹的同时具有钝性分离囊壁间隙的作用，钳夹卵巢不易滑脱，取出囊壁容易。结论应用新型腹腔镜卵巢囊肿分离钳能使卵巢囊肿剔除术更加快捷、安全。
목적：탐색일충편첩지실시복강경하란소낭종척제술적방법。방법회고성분석56례채용일충신형적복강경란소낭종분리겸진행란소낭종척제술병례，장기작위연구조，선취동시기상규기계행복강경란소낭종척제술병례62례작위대조조，비교량조수술시간、술중출혈량급술자대기계적사용감수。결과연구조여대조조적수술시간분별위（47.6±19.7）min급（64.1±26.7）min（P＜0.01）；술중출혈량분별위（36.9±43.8）ml급（58.9±55.1）ml（P＜0.05）；신형란소낭종분리겸여전통기계상비，재겸협적동시구유둔성분리낭벽간극적작용，겸협란소불역활탈，취출낭벽용역。결론응용신형복강경란소낭종분리겸능사란소낭종척제술경가쾌첩、안전。
Objective To explore a new method to make laparoscopic oophorocystectomy more convenient. Methods 56 cases of laparoscopic oophorocystectomy by a new-style laparoscopic separating forceps for oophorocystectomy were reviewed as study group, while 62 contemporaneous cases by routine laparoscopic instruments were reviewed as control group. The operative time, volume of blood loss, and operator's experience in instruments were compared between the two groups, respectively. Results The operative time was averagely (47.6±19.7)minutes in study group and (64.1±26.7)minutes in control group(P<0.01). The volume of blood loss was (36.9±43.8)ml and (58.9±55.1)ml in study group and control group, respectively(P<0.05). Comparing with routine laparoscopic instruments, the new-style laparoscopic separating forceps for oophorocystectomy shows advantages in blunt dissection for cyst wall when clamping, avoiding slippage of ovary, and easiness of taking out the cyst wall. Conclusion This new-style laparoscopic separating forceps for oophorocystectomy is helpful to make oophorocystectomy more convenient and safe.