CAJ | 학술논문

目的探讨妇科肥胖患者腹腔镜手术的安全性和临床应用价值。方法回顾性分析2010年7月~2013年7月在我院行腹腔镜手术的20例肥胖患者的临床资料，与同期行开腹手术的20例肥胖患者及行腹腔镜手术的20例非肥胖患者进行比较。结果肥胖腹腔镜组手术时间、出血量、排气时间、导尿时间，下床活动时间、住院时间均较肥胖开腹组明显缩短(<0.05)。而肥胖腹腔镜组与非肥胖腹腔镜组相比较，除住院时间稍延长外，其余均无显著性差异。结论腹腔镜手术对于妇科肥胖患者是安全有效的，较开腹手术对患者更有益，值得推广。
목적탐토부과비반환자복강경수술적안전성화림상응용개치。방법회고성분석2010년7월~2013년7월재아원행복강경수술적20례비반환자적림상자료，여동기행개복수술적20례비반환자급행복강경수술적20례비비반환자진행비교。결과비반복강경조수술시간、출혈량、배기시간、도뇨시간，하상활동시간、주원시간균교비반개복조명현축단(<0.05)。이비반복강경조여비비반복강경조상비교，제주원시간초연장외，기여균무현저성차이。결론복강경수술대우부과비반환자시안전유효적，교개복수술대환자경유익，치득추엄。
Objective To investigate the clinical ef ect of gynecologic laparoscopic surgery in obese patients. Methods Retrospective analysis 20 obese patients with laparoscopy from July 2010 to July 2013, compared with 20 obese patients with laparotomy and 20 non-obese patients with laparoscopy. Results In obesity laparoscopic group, operation time was shorter, the volume of blood loss was less, patients exsuf lation faster, time using urethral catheterization shorter, active out of bed earlier, hospitalization was shorter ( <0.05).But there was no significant dif erence in obesity laparoscopic group and non-obesity laparoscopic group, except the hospital stay. Conclusion Laparoscopic surgery is safe and ef ective, and bet er than laparotomy for obese patients, which is worthy to be popularized.