CAJ | 학술논문

观察腹腔镜治疗妇科急腹症的临床效果。方法：选取我院2010年8月-2013年5月收治的妇科急腹症患者148例，将其随机分为观察组和对照组各74例，观察组采用腹腔镜手术治疗，对照组采用开腹手术治疗，比较两组手术时间、术中出血量、肛门排气时间、住院时间、镇痛剂使用率及并发症发生率。结果：观察组手术时间、术中出血量、肛门排气时间、住院时间均显著低于对照组，两组比较差异有统计学意义，(P<0.01)；且观察组患者并发症发生率及镇痛剂使用率分别为9.5%、25.7%，也明显低于对照组，两组对比差异明显，（P<0.01）。结论：腹腔镜治疗妇科急腹症具有安全、有效、恢复快等优点，值得临床推广。
관찰복강경치료부과급복증적림상효과。방법：선취아원2010년8월-2013년5월수치적부과급복증환자148례，장기수궤분위관찰조화대조조각74례，관찰조채용복강경수술치료，대조조채용개복수술치료，비교량조수술시간、술중출혈량、항문배기시간、주원시간、진통제사용솔급병발증발생솔。결과：관찰조수술시간、술중출혈량、항문배기시간、주원시간균현저저우대조조，량조비교차이유통계학의의，(P<0.01)；차관찰조환자병발증발생솔급진통제사용솔분별위9.5%、25.7%，야명현저우대조조，량조대비차이명현，（P<0.01）。결론：복강경치료부과급복증구유안전、유효、회복쾌등우점，치득림상추엄。
To observe clinical efficacy laparo-scopic treatment for gynecologic acute abdomen. Methods: Took 148 women patients with gynecologic acute abdomen hospitalized in our hospital during August 2010 - May 2013, and randomly divided them into Observation Group and Control Group, 74 cases in each group. The Observation Group was received laparoscopic surgery therapy, while the Control Group was received laparotomy therapy. After treatment, the operation time, blood loss, ass row spirit time, hospitalization time, analgesic usage and the incidence of complications of both of two groups were compared. Results:the operation time, blood loss, ass row spirit time, hospitalization time of the Observation Group was significantly higher than that of the Control Group, the difference between the two groups showed sta-tistically significant, P<0.01. The analgesic usage and the inci-dence of complications of the Observation Group (being 9.5%, 25.7% respectively) were less than that of the Control Group, there also were significant differences between the two groups, P<0.01. Conclusion: laparoscopic treatment for gynecologic acute abdomen has the advantage of safety, effective, quick recovery, etc., thus, it is worth of clinical promoting.