CAJ | 학술논문

目的：探讨阴式手术对卵巢囊肿患者炎症反应和卵巢功能的影响。方法将102例卵巢囊肿患者随机分为两组，对照组51例采用腹腔镜手术治疗，观察组51例采用阴式手术治疗。观察两组手术一般情况（手术时间、术中出血量、术后肠道功能恢复时间、术后住院时间）、卵巢功能和 C-反应蛋白（CRP）、降钙素原（PCT）的变化。结果观察组在手术时间、术后肠道功能恢复时间、术后住院时间方面均少于对照组（P ﹤0.05）。术后1个月两组患者的促卵泡素、黄体生成素均明显升高，但对照组较观察组升高更明显（P ﹤0.05）。两组患者的雌激素、卵巢窦状卵泡数均明显降低，但对照组较观察组降低更明显（P ﹤0.05）。术后48 h 两组患者血清 CRP 和 PCT 均有明显升高，且对照组较观察组升高更明显（P ﹤0.05）。结论阴式手术治疗卵巢囊肿，较小影响机体的炎症反应和卵巢功能。
목적：탐토음식수술대란소낭종환자염증반응화란소공능적영향。방법장102례란소낭종환자수궤분위량조，대조조51례채용복강경수술치료，관찰조51례채용음식수술치료。관찰량조수술일반정황（수술시간、술중출혈량、술후장도공능회복시간、술후주원시간）、란소공능화 C-반응단백（CRP）、강개소원（PCT）적변화。결과관찰조재수술시간、술후장도공능회복시간、술후주원시간방면균소우대조조（P ﹤0.05）。술후1개월량조환자적촉란포소、황체생성소균명현승고，단대조조교관찰조승고경명현（P ﹤0.05）。량조환자적자격소、란소두상란포수균명현강저，단대조조교관찰조강저경명현（P ﹤0.05）。술후48 h 량조환자혈청 CRP 화 PCT 균유명현승고，차대조조교관찰조승고경명현（P ﹤0.05）。결론음식수술치료란소낭종，교소영향궤체적염증반응화란소공능。
Objective To investigate the effect of vaginal surgery on inflammation and ovarian function in patients with ovarian cysts. Methods One hundred and two patients with ovarian cysts were randomly divided into two groups,the control group(51 cases)and the observation group(51 cases). Patients in the control group were operated through laparoscopy,while the patients in the observation group were operated through vaginal surgery. The general conditions(operative time,blood loss,postop-erative intestinal function recovery time,postoperative hospital stay),ovarian function and C-reactive protein(CRP),procalcitonin(PCT)changes were observed in the two groups. Results In the observa-tion group,the operative time,postoperative intestinal function recovery time,postoperative hospital stay were lower than those in the control group(P ﹤0. 05). After 1 month,the levels of FSH,LH in the two groups were significantly increased,but those in the control group were increased more significantly than those in the observation group(P ﹤ 0. 05). The levels of E2,F0 in the two groups were significantly re-duced,but those in the control group were decreased more significantly than the observation group(P ﹤0. 05). Forty-eight hours after operation,the serum CRP and PCT levels of the two groups were significant-ly increased,and those in the control group were increased more significantly than those in the observation group(P ﹤0. 05). Conclusions Vaginal surgery in the treatment of ovarian cysts has less affection on the inflammatory response and ovarian function.