CAJ | 학술논문

目的：观察腹腔镜手术治疗子宫内膜异位囊肿的临床效果。方法选择90例子宫内膜异位囊肿患者作为研究对象，将所有患者按照随机数字法分为两组。对照组患者给予开腹手术治疗，观察组患者给予腹腔镜手术治疗。对比两组患者的术中出血、手术时间、住院时间、术后发热、术后病率、术后镇痛以及切口愈合情况。结果观察组患者在治疗后，术中出血、手术时间、住院时间均小于对照组，两组差异具有统计学意义（P＜0.05）。观察组患者术后病率和术后镇痛都明显优于对照组，两组差异具有统计学意义（P＜0.05）。两组患者切口甲级愈合率均为100%，比较无统计学差异（P＞0.05）。结论子宫内膜异位囊肿采取腹腔镜手术治疗疗效显著，能够有效减少手术时间和住院时间，降低术后病率，减少并发症。
목적：관찰복강경수술치료자궁내막이위낭종적림상효과。방법선택90례자궁내막이위낭종환자작위연구대상，장소유환자안조수궤수자법분위량조。대조조환자급여개복수술치료，관찰조환자급여복강경수술치료。대비량조환자적술중출혈、수술시간、주원시간、술후발열、술후병솔、술후진통이급절구유합정황。결과관찰조환자재치료후，술중출혈、수술시간、주원시간균소우대조조，량조차이구유통계학의의（P＜0.05）。관찰조환자술후병솔화술후진통도명현우우대조조，량조차이구유통계학의의（P＜0.05）。량조환자절구갑급유합솔균위100%，비교무통계학차이（P＞0.05）。결론자궁내막이위낭종채취복강경수술치료료효현저，능구유효감소수술시간화주원시간，강저술후병솔，감소병발증。
Objective To investigate the clinical efficacy of laparoscopic surgery for ovarian endometriosis Methods 90 patients with endometriosis were randomly divided into two groups .The control group were treated with open surgery ,while patients in the observation group were treated with laparoscopic surgery. Difference between the two groups were compared ,in terms of blood loss,operative time,hospital stay,postoperative fever,postoperative morbidity, postoperative pain and wound healing. Results The blood loss,operative time,length of hospital stay in the treatment group were less than the control group, the difference was statistically significant(P<0.05). At the same time,the postoperative morbidity and postoperative analgesia were significantly better than the control group,the difference was statistically significant(P<0.05). Grade incision healing rate of the two groups were 100%,no difference(P>0.05). Conclusion Laparoscopic surgery for endometriosis have significant effect,which can effectively shorten operative time and hospital stays,reduce postoperative morbidity and complications.