CAJ | 학술논문

目的：探讨腹腔镜技术在肥胖女性患者的妇科与外科疾病联合手术中的临床价值。方法：选择我院2009年2月至2013年9月期间106例行腹腔镜手术的女性肥胖患者，将53例妇科疾病合并阑尾炎或者胆囊结石的患者作为观察组，行腹腔镜妇科联合外科手术；将53例妇科疾病患者作为对照组，行单纯腹腔镜妇科手术。对比两组患者的手术时间、术中出血量、肠道通气时间、住院时间和术中、术后的并发症情况。结果：所有患者均顺利完成手术，无中转开腹情况发生；观察组患者的手术时间明显长于对照组，差异具有统计学意义（P ＜0.05），而出血量、肛门通气时间、住院时间及不良反应发生率等指标比较，差异均无统计学意义（P ＞0.05）。结论：妇科联合外科疾病手术对于女性肥胖患者安全有效，可拓宽手术领域，具有较高的临床应用价值。
목적：탐토복강경기술재비반녀성환자적부과여외과질병연합수술중적림상개치。방법：선택아원2009년2월지2013년9월기간106례행복강경수술적녀성비반환자，장53례부과질병합병란미염혹자담낭결석적환자작위관찰조，행복강경부과연합외과수술；장53례부과질병환자작위대조조，행단순복강경부과수술。대비량조환자적수술시간、술중출혈량、장도통기시간、주원시간화술중、술후적병발증정황。결과：소유환자균순리완성수술，무중전개복정황발생；관찰조환자적수술시간명현장우대조조，차이구유통계학의의（P ＜0.05），이출혈량、항문통기시간、주원시간급불량반응발생솔등지표비교，차이균무통계학의의（P ＞0.05）。결론：부과연합외과질병수술대우녀성비반환자안전유효，가탁관수술영역，구유교고적림상응용개치。
Objectives:To study on the application value of laparoscopic technology in the combined sur-gery of female obese patients with gynecological diseases.Methods:53 female obese patients received laparoscopic gynecologic combined surgical operation in our hospital from February 2009 to September 2013 were selected as ob-servation group,and 53 obese female patients received gynecological laparoscopic operation was selected as control group.The operation time,intraoperative bleeding,intestinal ventilation time,hospitalization time and complication of the two groups were compared.Results:All patients successfully completed operation,without conversion to lap-arotomy;the operation time of the observation group was significantly higher than that in the control group,with sta-tistically significant difference (P <0.05),and the amount of bleeding,anal ventilation time and hospitalization time were compared,without statistically significant difference (P >0.05).Conclusions:Gynecological operation combined with surgical operation is safe and effective for female obese patients,which broadens the field of operation and has high value in clinical application.