CAJ | 학술논문

目的：探讨透明质酸钠用于预防妇产科腹盆腔手术术后粘连的有效性及安全性。方法采用前瞻性病例对照研究的方法，选取1323例各类妇产科腹盆腔手术患者为研究组，应用透明质酸钠；同期选取672例各类妇产科腹盆腔手术患者作为对照组。比较两组术后第3天外周血白细胞数的情况、术后1月行B超检查的情况及术后1月妇科检查结果的情况。结果研究组粘连发生率显著低于对照组，差异有统计学意义（P<0.05）。结论透明质酸钠可有效预防妇产科腹盆腔手术术后粘连。
목적：탐토투명질산납용우예방부산과복분강수술술후점련적유효성급안전성。방법채용전첨성병례대조연구적방법，선취1323례각류부산과복분강수술환자위연구조，응용투명질산납；동기선취672례각류부산과복분강수술환자작위대조조。비교량조술후제3천외주혈백세포수적정황、술후1월행B초검사적정황급술후1월부과검사결과적정황。결과연구조점련발생솔현저저우대조조，차이유통계학의의（P<0.05）。결론투명질산납가유효예방부산과복분강수술술후점련。
Objective To explore the efficacy and safety of sodium hyaluronate on preventing postoperative adhesions in obstetric and gyne-cologic surgery. Methods A prospective, case-control study was applied, sodium hyaluronate was used in 1323 cases as study group, meanwhile 672 cases was selected as control group. Results Adhesions of study group were lower than those in the control group. Conclusion Sodium hyaluronate is effective in the prevention of postoperative adhesions in obstetric and gynecologic surgery.