CAJ | 학술논문

目的比较腹腔镜与传统开腹手术初次卵巢巧克力囊肿剥除术后的临床疗效。方法回顾性分析及追踪回访我院近10年来60例行开腹手术与60例腹腔镜手术患者的临床与随访资料，观察和比较术后是否复发，以及术后痛经的程度的改善和术后卵巢功能的恢复及术后妊娠率。结果两组患者均顺利完成手术，无术中术后并发症。手术时间60~135min。术后平均住院天数4.52d。结论腹腔镜手术优于传统开腹手术，不会增加复发的风险。同时，腹腔镜作为微创手术，具有创伤小，同时又放大作用，可观察整个盆腹腔以及微小的异位病症，手术彻底，恢复时间短等优点，值得临床广泛推广和应用。
목적비교복강경여전통개복수술초차란소교극력낭종박제술후적림상료효。방법회고성분석급추종회방아원근10년래60례행개복수술여60례복강경수술환자적림상여수방자료，관찰화비교술후시부복발，이급술후통경적정도적개선화술후란소공능적회복급술후임신솔。결과량조환자균순리완성수술，무술중술후병발증。수술시간60~135min。술후평균주원천수4.52d。결론복강경수술우우전통개복수술，불회증가복발적풍험。동시，복강경작위미창수술，구유창상소，동시우방대작용，가관찰정개분복강이급미소적이위병증，수술철저，회복시간단등우점，치득림상엄범추엄화응용。
Objective Comparison of laparoscopy and traditional laparotomy in initial clinical effect of postoperative ovarian chocolate cyst removed. Methods Retrospective analysis and tracing visit our Institute over the past 10 years 60 routine laparotomy and 60 cases of laparoscopic surgery in patients with clinical and follow-up of information, observation and comparison of postoperative recurrence and postoperative degrees of improvement of dysmenorrhea and ovarian function recovery after operation and postoperative pregnancy rate. Result Two groups of patients were successfully operated, no postoperative complications. Operative time was 60 to 135min. The mean postoperative hospital stay days 4.52d. Conclusions Laparoscopic surgery than traditional open surgery, does not increase the risk of recurrence. At the same time, as a minimally invasive laparoscopic surgery, with small wounds, while zoom in, and observe the entire ectopic symptoms of abdominal and small, operative completely, recovery time is short, and other advantages, is widely promoted and clinical applications.