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腹腔镜手术治疗子宫内膜异位症的疗效分析 被引量:19
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作者 杨洁 林叶飞 +2 位作者 郑小妹 陈曼玲 王英 《中国现代医学杂志》 CAS 北大核心 2022年第16期57-61,共5页
目的 分析腹腔镜手术治疗子宫内膜异位症(EMS)患者的临床疗效。方法 选取2017年1月—2019年12月在海南医学院第一附属医院接受治疗的EMS患者94例,随机分为常规组、腔镜组,每组47例。常规组给予传统开腹手术治疗,腔镜组给予腹腔镜手术治... 目的 分析腹腔镜手术治疗子宫内膜异位症(EMS)患者的临床疗效。方法 选取2017年1月—2019年12月在海南医学院第一附属医院接受治疗的EMS患者94例,随机分为常规组、腔镜组,每组47例。常规组给予传统开腹手术治疗,腔镜组给予腹腔镜手术治疗;对比两组患者的围手术期指标、术后指标及术后并发症发生情况,随访24个月的复发率与妊娠成功率。结果 常规组与腔镜组手术时间比较,差异无统计学意义(P>0.05)。腔镜组术中出血量少于常规组(P <0.05),术后排气时间、住院时间短于常规组(P <0.05)。术后1 d两组血清CRP比较,差异无统计学意义(P>0.05);腔镜组术后3 d两组血清CRP低于常规组。常规组与腔镜组6 h、12 h、24 h、48 h、72 h的VAS评分比较,采用重复测量设计的方差分析,结果:(1)不同时间点VAS评分有差异(F=1 070.233,P=0.000);(2)两组VAS评分有差异(F=1 701.139,P=0.000),腔镜组VAS评分较低,相对镇痛效果较好;(3)腔镜组与常规组VAS评分变化趋势有差异(F=59.125,P=0.000)。腔镜组术后并发症发生率低于常规组(P <0.05)。腔镜组与常规组复发率比较,差异无统计学意义(P>0.05)。腔镜组术后1年内和术后1~24个月的妊娠率高于常规组(P <0.05)。结论 腹腔镜手术治疗EMS疗效较好,能减轻术后炎症反应,降低并发症发生风险,提高术后妊娠率。 展开更多
关键词 子宫内膜异位症 腹腔镜 手术 临床疗效 预后妊娠率
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Expression of soluble vascular endothelial growth factor receptor-1 and placental growth factor in fetal growth restriction cases and intervention effect of tetramethylpyrazine 被引量:3
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作者 Shu-Wei Li Yi ling +5 位作者 Song Jin ye-fei lin Ze-Jun Chen Chun-Xia Hu Ming-Hua Wang Mao-Zhong Yao 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2014年第8期663-667,共5页
Objective:To investigate the expression of soluble vascular endothelial growth factor receptor-1(sFlt-1) and placental growth factor(PLGF) in the fetal growth restriction(FGR) cases and the intervention mechanism of t... Objective:To investigate the expression of soluble vascular endothelial growth factor receptor-1(sFlt-1) and placental growth factor(PLGF) in the fetal growth restriction(FGR) cases and the intervention mechanism of tetramelhylpyrazine.Methods:A total of 60 fetal growth restriction cases that admitted lo our hospital were randomly divided into ligustrazine intervention group(group A) and nutritional support group(group B).A total of 50 healthy pregnant women were also enrolled as control group(group C).Expression level of maternal serum sFlt1,FLGF and fetal growth parameters including HC,AC,FL,BPD,EFW as well as placenta PLGF,sFlt-1 mRNA expression were recorded and compared among the three groups.A total of 15 SD rats were selected and were divided into lliree groups.TMP group,alcohol and tobacco group and blank control group.Three groups of rats were dissected on the twentieth day of gestation.Result:Expression level of sFlt-1 and PLGF in group A was not significantly different from that of group C(P>0.05):but significant difference in SFlt1 and PLGF expression level was observed between group C and group B(P<0.05).Before treatment.HC,AC,FL,BPD and EFW of group A and group B were significant lower than those of group C.hut after treatment,those parameters in group A were significantly improved(P<0.05).In the animal experiment there was no significant difference in sFlt-1 between treatment group and FGR group without treatment or control group(P>0.05).There was significant difference in PLGF between FGR group with treatment and FGR group without treatment or control group(P<0.01).Conclusions:PLGF level is decreased and sFlt-1 increased in patients suffered from fetal growth restriction,and FGR rats show increased sFlt-1 and decreased PLGF.thus they can be indicator of the fetal growth restriction.Ligustrazinc can effectively improve sFlt-1,PLGF expression level in fetal growth restriction cases,which can be used as treatment for FGR. 展开更多
关键词 LIGUSTRAZINE Fetal growth restriction SFLT-1 PLGF
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