摘要
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.
出处
《赣南医学院学报》
2012年第2期216-217,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
经阴道手术
子宫肌瘤
应激
vaginal surgery
uterine fibroids
stress