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腹腔镜手术对卵巢囊肿患者应激代谢的影响 被引量:6

The affect of laparoscopic surgery on stress response of the patients with ovarian cysts
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摘要 目的:比较腹腔镜和开腹手术两种不同手术方式对卵巢囊肿患者机体应激反应的影响。方法:将63例住院的卵巢囊肿患者随机分为腹腔镜组和开腹手术组,分别检测患者术前1天、术后1天及术后3天血清甲状腺激素和皮质醇水平。结果:两组患者TT3、TT4在术后1天均迅速下降,TSH、皮质醇在术后1天均迅速上升;腹腔镜手术组术后皮质醇、甲状腺激素水平均较开腹手术恢复得快且好。结论:腹腔镜手术与开腹手术相比对机体的应激刺激小,腹腔镜手术是卵巢囊肿患者安全、有效、损伤少的治疗手段。 Objective:To compare the affect of laparoscopic and open surgery on stress response of the patients with ovarian cysts.Methods:63 patients with ovarian cysts were randomly divided into the laparoscopic group and the open surgery group.The levels of serum thyroid hormone and the cortisol of the 63 patients were detected before 1day of the surgery,after 1day and 3day of the surgery.Results:The levels of TT3 and TT4 were increased rapidly after 1day of the surgery in the laparoscopic group and open surgery group while TSH and cortisol were increased rapidly.The levels of cortisol and thyroid hormone were recovered faster and well compared with open surgery.Conclusion:Laparoscopic surgery has less stress stimulate to the body compared with the open surgery,and the laparoscopic surgery is a safe and effective treatment for the patients with ovarian cysts.
作者 吴立华
出处 《中国妇幼保健》 CAS 北大核心 2011年第32期5083-5084,共2页 Maternal and Child Health Care of China
关键词 腹腔镜手术 开腹手术 应激 Laparoscopic surgery Open surgery Stress
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