经阴道与开腹子宫肌瘤剔除术对机体应激的影响

Vaginal and abdominal myomectomy impact stress on the body

目的:探讨经阴道子宫肌瘤剔除术对机体应激的影响。方法:2008年1月～2011年1月选择经阴道与开腹子宫肌瘤剔除术各45例,测定2组术前、术后24 h和术后72 h皮质醇、C反应蛋白。结果:两组术后24 h皮质醇、C-反应蛋白均较术前升高(P<0.05),但经阴道组低于开腹组(P<0.05)。术后72 h经阴道组皮质醇、C-反应蛋白接近术前水平(P>0.05),而开腹组仍高于术前水平,且显著高于经阴道组(P<0.05)。结论:经阴道子宫肌瘤剔除术比开腹子宫肌瘤剔除术对机体应激小,创伤小,有利于患者术后的恢复。

Objective： To evaluate the vaginal myomeetomy impact of stress on the body. Methods：in January 2008 - January 2011 selection of vaginal and abdominal myomectomy of 45 cases, determination of two groups before surgery, 24 h and 72 h after cortisol, C-reactive protein. Results： postoperative 24 h eortisol, C-reactive protein compared with preop-erative elevated （P 〈0.05 ）, but the vaginal group than in the abdominal group （P 〈 0.05 ）. 72 hours after vaginal gr. lp cortisol, C-reactive protein close to the preoperative level （P 〉0.05 ）, while the laparotomy group was still higher than preoperative levels, and significantly higher than the vaginal group （P 〈 0.05 ）. Conclusion：Transvaginal myomectomy compared with abdominal uterine Myomectomy little stress on the body, trauma, conducive to the recovery of patients.