CAJ | 학술논문

目的：探讨腹腔镜治疗良性卵巢囊肿的临床应用价值。方法将108例卵巢囊肿患者随机分为观察组和对照组，其中对照组实施常规开腹手术，观察组实施腹腔镜手术，对比分析两组患者的手术时间、平均出血量、术后排气时间、术后活动时间及术后住院时间；同时，对两组患者进行随访观察，分析两组患者术后1年内卵巢功能变化情况。结果观察组患者术中平均出血量明显少于对照组(P<0.05)，在术后排气时间、活动时间及住院时间方面观察组亦明显短于对照组(P<0.05)，而在手术时间方面未见明显差异(P>0.05)；在术后卵巢功能方面，观察组术后第3、6及12个月时的卵巢功能较治疗前比较无明显差异，对照组术后的卵巢功能在第3、6个月较治疗前明显降低，且与同时期观察组患者的卵巢功能比较存在差异(P<0.05)，在第12个月时恢复至术前水平。结论腹腔镜治疗卵巢囊肿临床效果确切，具有出血量较少、术后排气快、住院时间短的优势，且对卵巢功能的影响较小，适合无明显禁忌证的良性卵巢囊肿患者，值得推广应用。
목적：탐토복강경치료량성란소낭종적림상응용개치。방법장108례란소낭종환자수궤분위관찰조화대조조，기중대조조실시상규개복수술，관찰조실시복강경수술，대비분석량조환자적수술시간、평균출혈량、술후배기시간、술후활동시간급술후주원시간；동시，대량조환자진행수방관찰，분석량조환자술후1년내란소공능변화정황。결과관찰조환자술중평균출혈량명현소우대조조(P<0.05)，재술후배기시간、활동시간급주원시간방면관찰조역명현단우대조조(P<0.05)，이재수술시간방면미견명현차이(P>0.05)；재술후란소공능방면，관찰조술후제3、6급12개월시적란소공능교치료전비교무명현차이，대조조술후적란소공능재제3、6개월교치료전명현강저，차여동시기관찰조환자적란소공능비교존재차이(P<0.05)，재제12개월시회복지술전수평。결론복강경치료란소낭종림상효과학절，구유출혈량교소、술후배기쾌、주원시간단적우세，차대란소공능적영향교소，괄합무명현금기증적량성란소낭종환자，치득추엄응용。
Objective To explore the value of laparoscopic in the treatment of ovarian cyst. Methods All 108 patients were randomly divided into the observation group and the control group. The control group were treated by laparotomy,and the observation group were treated by laparoscopic surgery. The operative time,intraoperative blood loss,postoperative exhaust time,postoperative activity time,postoperative hospital stay as well as the ovarian function within a year of two groups were compared. Results The intraoperative blood loss in observation group was lower than control group(P<0.05).The postoperative exhaust time,postoperative activity time and postoperative hospital stay in observation group were significantly shorter than control group (P<0.05),but there was no difference in the operative time of two groups(P>0.05). There were no obvious changes in observation group with ovarian function,and the ovarian function in control group was abnormity in the 3 and 6 months after surgery (P<0.05),and there were back to normal until 12 months later. Conclusion Laparoscopic surgery with less bleeding,rapid postoperative recovery,shorter hospital stay,smaller influence for ovarian function and it is suitable for the patients with ovarian cysts without contraindication,itrs worthy of promotion and applicaction.