CAJ | 학술논문

目的：探讨腹腔镜与开腹手术治疗良性卵巢囊肿的临床效果。方法选取本院2012年1月~2014年1月收治的卵巢良性囊肿患者80例，随机分为腹腔镜组和开腹组，比较两组的临床疗效。结果腹腔镜组手术时间、下床活动时间、排气时间及住院时间短于开腹组，失血量少于开腹组，疼痛评分小于对照组，差异有统计学意义(P<0.05)；腹腔镜组并发症发生率为0，明显低于对照组的15.0%(P<0.05)；两组患者术后生长激素和皮质醇均明显上升(P<0.05)，且开腹组变化更显著(P<0.05)。结论与开腹手术相比，腹腔镜手术治疗卵巢良性囊肿具有创伤小、恢复快、并发症少等优势，同时还可降低患者围术期应激水平，维持内环境稳定，促进机体更快恢复。
목적：탐토복강경여개복수술치료량성란소낭종적림상효과。방법선취본원2012년1월~2014년1월수치적란소량성낭종환자80례，수궤분위복강경조화개복조，비교량조적림상료효。결과복강경조수술시간、하상활동시간、배기시간급주원시간단우개복조，실혈량소우개복조，동통평분소우대조조，차이유통계학의의(P<0.05)；복강경조병발증발생솔위0，명현저우대조조적15.0%(P<0.05)；량조환자술후생장격소화피질순균명현상승(P<0.05)，차개복조변화경현저(P<0.05)。결론여개복수술상비，복강경수술치료란소량성낭종구유창상소、회복쾌、병발증소등우세，동시환가강저환자위술기응격수평，유지내배경은정，촉진궤체경쾌회복。
Objective To explore the clinical effect of laparoscopy and laparotomy in the treatment of benign ovarian cyst. Methods 80 patients with benign ovarian cyst who were admitted to our hospital from January 2012 to January 2014 were selected,and were randomly divided into laparoscopy group and laparotomy group.Curative effect between the two groups was compared. Results Surgical time,activity time,time of passage of gas and hospitalization time in the la-paroscopy group was shorter than that in the laparotomy group,amount of blood loss was less than that in the laparotomy group,pain score was lower than that in the control group,the difference was significant (P<0.05).The incidence of com-plication in the laparoscopy group was 0,lower than 15.0% in the control group (P<0.05).After treatment,level of growth hormone and cortisol of two groups increased compared with before treatment (P<0.05),and aparotomy group increased more (P<0.05). Conclusion Compared with laparotomy,laparoscopic surgery in the treatment of benign ovarian cyst has advantages of small trauma,fast recovery and less complications.Laparoscopy is also able to reduce patients’stress level during perioperative period,maintain the stability of internal environment,and promote faster recovery.