CAJ | 학술논문

对比分析腹腔镜下卵巢切除或卵巢囊肿剔除术与传统开腹手术的临床效果。方法回顾性分析2011年12月~2013年12月因卵巢囊肿在我院行卵巢切除或卵巢囊肿剔除术治疗的患者110例，将患者按照不同的手术方式分为腹腔镜组（采用腹腔镜微创手术治疗）及开腹组（采用传统外科手术治疗），各55例，采用统计学方法比较两组的临床效果。结果①计量资料：腹腔镜组住院时间、术后抗炎时间、术后排气时间、术后下床时间及手术时间与开腹组比较均明显缩短，术中出血量明显减少（P＜0.05）。②计数资料：腹腔镜组术后镇痛率与开腹组比较明显较低，而术后并发症发生率明显较高（P＜0.05）。结论在腹腔镜下对卵巢囊肿患者实施卵巢切除和卵巢囊肿剔除术能使其治疗效果显著提高，改善预后。
대비분석복강경하란소절제혹란소낭종척제술여전통개복수술적림상효과。방법회고성분석2011년12월~2013년12월인란소낭종재아원행란소절제혹란소낭종척제술치료적환자110례，장환자안조불동적수술방식분위복강경조（채용복강경미창수술치료）급개복조（채용전통외과수술치료），각55례，채용통계학방법비교량조적림상효과。결과①계량자료：복강경조주원시간、술후항염시간、술후배기시간、술후하상시간급수술시간여개복조비교균명현축단，술중출혈량명현감소（P＜0.05）。②계수자료：복강경조술후진통솔여개복조비교명현교저，이술후병발증발생솔명현교고（P＜0.05）。결론재복강경하대란소낭종환자실시란소절제화란소낭종척제술능사기치료효과현저제고，개선예후。
Objective To compare the clinical results of laparoscopic ovariectomy and ovarian cyst removed with tradi-tional open surgery. Methods Retrospectively analyzed 110 patients with ovariectomy and ovarian cyst removed treatment se-lected from Dec 2011 to Dec 2013 due to ovarian cyst in our hospital, according to different surgical method, all the patients were divided into laparoscopic group (used minimally invasive laparoscopic surgery) and open surgery group (used the tradi-tional surgical treatment), each group had 55 cases. Used the statistical methods to compare the clinical results. Results①The hospitalization time, postoperative inflammation time, postoperative discharge time, postoperative ambulation time of la-paroscopic group were significantly shorter than the open surgery group, blood loss was significantly less (P<0.05). ②The post-operative analgesia rate of open surgery group was significantly lower , while the incidence of postoperative complications was significantly higher (P<0.05). Conclusion Laparoscopic ovariectomy and ovarian cyst removed can significantly improve the therapeutic effect and the prognosis.