CAJ | 학술논문

目的：探讨悬吊式无气腹腔镜在妇科手术中的临床应用价值。方法对2013年6月至2014年3月在安康市汉滨区第一医院行悬吊式无气腹腔镜与气腹腹腔镜手术共86例患者的临床资料进行回顾性分析。结果两组术中出血时间差异无统计学意义（t＝4．232，P＞0．05）；悬吊式腹腔镜在手术时间、术后抗生素使用时间、肛门排气时间、住院时间、术后疼痛、住院费用方面明显优于气腹腹腔镜，差异均有统计学意义（t手术时间＝0．043，t术后抗生素使用时间＝0．031，t肛门排气时间＝0．000，t住院时间＝0．000，t术后疼痛＝0．000，t住院费用＝0．000，均P＜0．05）。结论悬吊式腹腔镜手术是一种安全有效的妇科微创手术，值得临床应用推广。
목적：탐토현조식무기복강경재부과수술중적림상응용개치。방법대2013년6월지2014년3월재안강시한빈구제일의원행현조식무기복강경여기복복강경수술공86례환자적림상자료진행회고성분석。결과량조술중출혈시간차이무통계학의의（t＝4．232，P＞0．05）；현조식복강경재수술시간、술후항생소사용시간、항문배기시간、주원시간、술후동통、주원비용방면명현우우기복복강경，차이균유통계학의의（t수술시간＝0．043，t술후항생소사용시간＝0．031，t항문배기시간＝0．000，t주원시간＝0．000，t술후동통＝0．000，t주원비용＝0．000，균P＜0．05）。결론현조식복강경수술시일충안전유효적부과미창수술，치득림상응용추엄。
Objective To explore the clinical application value of gasless laparoscope using abdominal wall lifting in gynecologic surgery . Methods Retrospective analysis was conducted on the data of 86 cases undergoing gasless laparoscopic surgery using abdominal wall lifting or gas laparoscopic surgery in Ankang Hanbin First Hospital during the period of June 2013 to March 2014.Results There was no significant difference in bleeding volume between two groups (t=4.232,P>0.05).Gasless laparoscope using abdominal wall lifting was superior to gas laparoscope in the aspects of operation time , antibiotics administration period after surgery , anal exhaust time , length of stay, pain after surgery and hospitalization expenses , and there were significant differences ( t value was 0.043, 0.031, 0.000, 0.000, 0.000 and 0.000, respectively, all P<0.05).Conclusion Gasless laparoscopic surgery using abdominal wall lifting is a safe and effective gynecologic minimally invasive surgery , and it is worth of applying in clinics .