CAJ | 학술논문

目的：探讨卵巢良性肿瘤行腹腔镜手术治疗的临床疗效。方法回顾性分析两种不同手术方式治疗108例卵巢囊肿患者的临床资料，其中行进腹手术(进腹组)66例，行腹腔镜手术(腹腔镜组)42例，比较两种不同术式的术中及术后情况，包括手术时间、失血量、肛门排气时间、应用抗生素时间、术后并发症、住院时间、术后应用镇痛药的比例。结果两组患者平均手术时间、平均失血量、肛门排气时间和应用抗生素时间比较差异无显著意义(P>0.05)；两组患者的术后病率、住院时间、术后应用镇痛药比率之间有显著差异，腹腔镜组术后病率、住院时间及术后镇痛药比率均明显低于进腹组(P<0.05)。结论腹腔镜手术具有创伤小、疼痛轻、康复快、瘢痕小、术后并发症少等优点，是治疗卵巢良性肿瘤的可行、安全、有效的方法。
목적：탐토란소량성종류행복강경수술치료적림상료효。방법회고성분석량충불동수술방식치료108례란소낭종환자적림상자료，기중행진복수술(진복조)66례，행복강경수술(복강경조)42례，비교량충불동술식적술중급술후정황，포괄수술시간、실혈량、항문배기시간、응용항생소시간、술후병발증、주원시간、술후응용진통약적비례。결과량조환자평균수술시간、평균실혈량、항문배기시간화응용항생소시간비교차이무현저의의(P>0.05)；량조환자적술후병솔、주원시간、술후응용진통약비솔지간유현저차이，복강경조술후병솔、주원시간급술후진통약비솔균명현저우진복조(P<0.05)。결론복강경수술구유창상소、동통경、강복쾌、반흔소、술후병발증소등우점，시치료란소량성종류적가행、안전、유효적방법。
Objective To investigate the clinical efficacy of laparoscopic surgery in treating benign ovarian tumor. Methods The clinical materials of 108 cases of ovarian cyst patients treated with two surgical methods were retrospectively analysed. All the patients were divided into laparotomy group (66 cases) and laparoscopic group (42 cases). The conditions during the operation and after the operation of two groups were compared, including the operation time, the bleeding volume, anal exhausting time, antibiotics administration time, the operation complications, hospitalization time and the rate of analgesic drug administration. Results The operation time, bleeding volume, anal exhausting time and antibiotics administration time of the two groups had no significant difference (P >0.05); the operation complications, hospitalization time and the analgesic drug administration rate of the laparoscopic group were significantly lower than those of the laparotomy group, with statistical significant difference (P <0.05). Conclusions Laparoscopic surgery enjoys less trauma, less pain, rapid recovery, small scar, and less complications, which is a feasible, safe, effective method to treat benign ovarian tumor.