| 摘要: |
| 目的 对腹腔镜手术和常规开腹手术治疗的子宫肌瘤患者进行回顾性分析研究，探讨不同手术方式对子宫肌瘤患者机体应激反应及术后并发症的影响。方法 选取该院2016-05～2018-06收治的子宫肌瘤患者行腹腔镜治疗36例为观察组 ，行开腹手术治疗36例为对照组。比较两组术前、术后皮质醇（Cor）、去甲肾上腺素（NE）、C-反应蛋白（CRP）、白细胞介素-6（IL-6）、胃泌素和凝血酶原时间（PT）变化情况及手术并发症情况。结果 观察组术后Cor、NE、CRP、IL-6、胃泌素和PT水平明显低于对照组（P<0.05），观察组术后并发症发生率明显低于对照组（P＜0.05），差异存在统计学差异。结论 与常规开腹手术相比，腹腔镜手术能降低子宫肌瘤患者术后应激反应，同时降低了术后并发症发生率。 |
| 关键词: 腹腔镜 子宫肌瘤 应激反应 术后并发症 |
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| Effect of laparoscopic surgery on stress response and complications in patients with uterine fibroids |
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刘妍
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Affiliated Hospital of Shandong Academy of Medical Sciences, Shandong First Medical University
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| Abstract: |
| Objective Retrospective analysis of uterine fibroids treated with laparoscopic surgery and conventional laparotomy was performed to investigate the effects of different surgical methods on the body's stress response and postoperative complications in patients with uterine fibroids. Method Laparoscopic patients (36 cases) who underwent laparoscopic surgery from May 2016 to June 2018 in our hospital were enrolled in the experimental group, and those who underwent open surgery (36 cases) were classified as open group and selected at the same time. Patients with uterine fibroids who underwent conservative treatment (36 patients) were assigned to the control group. Cortisol (Cor), norepinephrine (NE), C-reactive protein (CRP), interleukin-6 (IL-6), gastrin and prothrombin time (PT) data, were collected from the experimental group and the open group before and after surgery. While collecting the above indicators of the control group. The surgical complications were retrospectively analyzed. Results The stress response index of the experimental group was significantly lower than that of the open group (P<0.05). The incidence of postoperative complications in the experimental group was significantly lower than that in the open group (P<0.05). Conclusions Compared with conventional open surgery, laparoscopic surgery can reduce the postoperative stress response in patients with uterine fibroids, and reduce the incidence of postoperative complications. |
| Key words: Laparoscopic Uterine Fibroids Stress Response Postoperative Complications |
