腹腔镜手术对妇科疾病合并糖尿病患者的影响

Influence of laparoscopy on gynecological patients with diabetes mellitus

目的 探讨腹腔镜手术对妇科疾病合并 2型糖尿病患者的影响。方法 1998年 10月至 2 0 0 2年 10月采用前瞻性方法 ,分析腹腔镜手术 (观察组 2 0例 )和剖腹手术 (对照组 2 0例 )对合并 2型糖尿病的妇科手术患者的手术前后血糖的影响 ,以及手术前后需使用胰岛素控制病情的情况。结果 观察组术后即时血糖 (8 78±2 0 4 )mmol/L ,对照组 (10 99± 1 6 1)mmol/L(P <0 0 1)。术后观察组需使用胰岛素控制病情者 5例 ,对照组 12例 (P <0 0 5 )。结论 腹腔镜手术对妇科疾病合并 2型糖尿病患者血糖的影响明显小于剖腹手术。

Objective To investigate the influence of laparoscopy on the gynecological patients with type 2 diabetes mellitus.Methods Among the 40 gynecological patients with type 2 diabetes mellitus diagnosed from October 1998 to October 2002,20 cases were performed laparoscopy,and 20 with laparotomy served as control.Their glucose level before and after operation and the number of patients needing insulin to control their glucose level lower than 7.2mmol/L were compared.Results There were significant differences in glucose level after operation(control group 10.99±1.61mmol/L,experimental group 8.78±2.04mmol/L,P<0.01) and the number of patients using insulin to control the glucose level after operation (control group 12/20,experimental group 5/20,P<0.05).Conclusion Compared with laparotomy,laparoscopy has less influence on the glucose level in the gynecological patients with type 2 diabetes mellitus.