三种不同子宫肌瘤切除术患者RAAS系统及微循环指标的变化比较

Changes of RAAS system and microcirculatory indexes of patients with three different myomectomy

目的:比较3种不同子宫肌瘤切除术患者RAAS系统及微循环指标的变化。方法:选取2011年1～12月于本院采用腹式子宫切除术治疗的40例子宫肌瘤患者为A组,同期采用阴式子宫切除术治疗的40例患者为B组,采用腹腔镜子宫肌瘤剔除术治疗的40例患者为C组,检测并比较3组患者手术前与手术后不同时间的RAAS系统及微循环指标。结果:C组手术后不同时间的RAAS系统及微循环指标均明显优于A组与B组,而B组则优于A组,差异均有统计学意义(P均<0.05)。结论:腹腔镜子宫肌瘤剔除术对子宫肌瘤患者的不良应激明显更小,且患者的机体整体恢复也相对更好。

Objective. To compare the changes of RAAS system and microcirculatory indexes of patients with three different myomectomy. Methods.A total of 40 patients with hysteromyoma and treated with abdominohysterectomy in our hospital from January 2011 to December 2011 were selected as the group A, 40 cases treated with vaginal hysterectomy at the same time were selected as the group B,40 ca- ses treated with laparoscopic myomectomy were selected as the group C. RAAS system and microcircula tory indexes of three groups before and after the treatment at different times were detected and compared. Results. RAAS system and mierocirculatory indexes of group C were all significantly better than those ofgroup A and group B,those indexes of group A were significantly better than those of group A （all P〈 0.05）. Conclusion： Laparoscopic myomectomy is of fewer distress, and of better body comprehensive recov-ery.