CAJ | 학술논문

目的：探讨蕴耘耘孕刀联合臭氧治疗前庭大腺脓肿的临床疗效，为其临床联合应用提供依据。方法90例前庭大腺脓肿患者随机分成两组。治疗组(42例)采用蕴耘耘孕刀造口，用臭氧冲洗伤口及阴道。对照组(48例)采用传统手术造口，用庆大霉素或灭滴灵冲洗伤口及阴道，凡士林纱条填塞引流。分析对比两组患者的抗生素应用、手术时间、出血量、疼痛、感染率、切口愈合时间、复发率等情况。结果治疗组手术时间比对照组显著缩短(孕<0.01)，术中出血量显著减少(孕<0.01)，患者疼痛感明显减轻(孕<0.01)。两组感染率无统计学差异。结论采用蕴耘耘孕刀联合臭氧治疗前庭大腺脓肿，手术时间短，术中出血量少，不增加感染风险，门诊治疗不需住院及每天换药，费用低，从精神上、经济上减轻患者压力，值得在临床推广应用。
목적：탐토온운운잉도연합취양치료전정대선농종적림상료효，위기림상연합응용제공의거。방법90례전정대선농종환자수궤분성량조。치료조(42례)채용온운운잉도조구，용취양충세상구급음도。대조조(48례)채용전통수술조구，용경대매소혹멸적령충세상구급음도，범사림사조전새인류。분석대비량조환자적항생소응용、수술시간、출혈량、동통、감염솔、절구유합시간、복발솔등정황。결과치료조수술시간비대조조현저축단(잉<0.01)，술중출혈량현저감소(잉<0.01)，환자동통감명현감경(잉<0.01)。량조감염솔무통계학차이。결론채용온운운잉도연합취양치료전정대선농종，수술시간단，술중출혈량소，불증가감염풍험，문진치료불수주원급매천환약，비용저，종정신상、경제상감경환자압력，치득재림상추엄응용。
Objective To explore the clinical effect of LEEP electro-scalpel combined with ozone for the treatment of bartholin gland cyst, so as to provide basis for clinical application. Methods 90 patients with bartholin gland cyst were randomly divided into two groups. 42 cases of the treatment group received LEEP electro-scalpel for stoma and ozone for washing wound and vagina. 48 cases of the control group received conventional stoma operation, gentamicin or metronidazole for washing wound and vagina and vaseline qauze for filling and drainage. The antibiotics application time, operative time, amount of bleeding, pain, infection rate, wound healing time, recurrence rate were analyzed and compared between the two groups. Results Compared with the control group, the treatment group had less operative time, fewer amount of bleeding, significantly reduced pain, with statistically significant difference (all P<0.01). The infection rate had no statistical difference between the two groups. Conclusions LEEP electro-scalpel combined with ozone for the treatment of bartholin gland cyst has advantages such as shorter operative time, fewer amount of bleeding, lower cost, no increasing the risk of infection, no hospitalization or medication every day, and reducing patients' spiritual and economic stress, which is worthy of clinical application.