[1]徐大华,马 丽,朱俊辉.腹腔镜下子宫肌瘤剔除术对子宫肌瘤患者创伤应激、内分泌的影响[J].陕西医学杂志,2024,(10):1362-1365.[doi:DOI:10.3969/j.issn.1000-7377.2024.10.014]
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腹腔镜下子宫肌瘤剔除术对子宫肌瘤患者创伤应激、内分泌的影响
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年10期
页码:
1362-1365
栏目:
临床研究
出版日期:
2024-10-05

文章信息/Info

作者:
徐大华马 丽朱俊辉
(安徽医科大学附属安庆第一人民医院妇产科,安徽 安庆 246000)
关键词:
子宫肌瘤剔除术 腹腔镜 创伤应激 术后并发症 复发率
分类号:
R 713.4
DOI:
DOI:10.3969/j.issn.1000-7377.2024.10.014
文献标志码:
A
摘要:
目的:探讨腹腔镜下子宫肌瘤剔除术对子宫肌瘤患者创伤应激、内分泌的影响。方法:回顾性分析80例子宫肌瘤患者临床资料,依手术方式分为开腹术组(n=39)、腹腔镜组(n=41),比较两组围术期指标、创伤应激炎性指标、内分泌功能、术后并发症、肌瘤残存的情况,随访1年观察肌瘤复发情况。结果:腹腔镜组手术时间长于开腹术组,术中出血少于开腹术组,术后排气、排便及住院总天数短于开腹术组(均P<0.05); 腹腔镜组术后3 d时血清白介素-6/-8/-1β(IL-6、IL-8、IL-1β)以及肿瘤坏死因子α(TNF-α)水平低于开腹术组(均P<0.05); 腹腔镜组术后3 d时血清雌二醇(E2)水平高于开腹术组,卵泡刺激素(FSH)、黄体生成素(LH)水平低于开腹术组(均P<0.05); 腹腔镜组与开腹术组术后并发症发生率、肌瘤残存率以及术后1年复发率比较,差异无统计学意义(均P>0.05)。结论:腹腔镜下子宫肌瘤剔除手术创伤小,且相较于开腹手术可减轻患者手术创伤应激,对内分泌功能的影响较小,术后恢复较快。

参考文献/References:

[1] 刘艳丽,郭亮生,张思佳,等.经脐手术刀肌瘤分碎术与电动肌瘤分碎术在腹腔镜子宫肌瘤剔除术中应用的比较[J].中国微创外科杂志,2021,21(10):912-917.
[2] 史红杰,张兴伟,马二梅,等.逐瘀消癥方治疗子宫肌瘤疗效及对患者细胞凋亡蛋白和雌、孕激素受体表达的影响[J].陕西中医,2020,41(11):1559-1562.
[3] KLEBANOFF J S,MARFORI C Q,SPARKS A D,et al.A clinically applicable prediction model for the risk of transfusion in women undergoing myomectomy[J].J Minim Invasive Gynecol,2021,28(10):1765-1773.
[4] HONG Y H,SONG E,KIM S K,et al.Operative and obstetric outcomes after single-port laparoscopic myomectomy:A retrospective single-center analysis of 504 cases[J].J Minim Invasive Gynecol,2021,28(12):2080-2088.
[5] MOAWAD G,PARK D,MAASEN M,et al.Predictors of overnight admission after laparoscopic myomectomy in a high-volume minimally invasive gynecologic surgery setting[J].J Minim Invasive Gynecol,2020,27(1):195-199.
[6] OPOKU-ANANE J,VARGAS M V,MARFORI C Q,et al.Intraoperative tranexamic acid to decrease blood loss during myomectomy:A randomized,double-blind,placebo-controlled trial[J].Am J Obstet Gynecol,2020,223(3):413.
[7] MORUZZI M C,MORO F,BOLOMINI G,et al.Intraoperative ultrasound assistance during myomectomy in pregnant woman[J].Ultrasound Obstet Gynecol,2020,55(6):840-841.
[8] 王红梅,代荫梅.剖宫产术同时行子宫肌瘤剔除术的安全性研究进展[J].中华妇产科杂志,2022,57(2):148-151.
[9] 刘洪慧,曾晓琴,孙爱军.不同手术方式及路径子宫切除术对卵巢功能的影响[J].中国实用妇科与产科杂志,2023,39(5):512.
[10] ZHENG Z,HAN Z,LI Z,et al.The impact of laparoscopic surgical treatments on oncologic outcome of stage I uterine leiomyosarcoma[J].Eur J Gynaecological Oncol,2021,40(6):977.
[11] NAGER C W,VISCO A G,RICHTER H E,et al.Effect of vaginal mesh hysteropexy vs vaginal hysterectomy with uterosacral ligament suspension on treatment failure in women with uterovaginal prolapse:A randomized clinical trial[J].JAMA,2019,322(11):1054-1065.
[12] 何永娜,徐霞,朱翠兰.经腹子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较[J].实用癌症杂志,2021,36(6):1008-1010.
[13] ZHU X,LU J,XU H,et al.A comparative study between minimally invasive spine surgery and traditional open surgery for patients with spinal metastasis[J].Spine,2021,46(1):62-68.
[14] 王远行,方慧彬,仝进毅.微创腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的效果分析[J].中华肿瘤防治杂志,2020,27(S01):127-127,129.
[15] 吕娜.比较全子宫切除术与腹腔镜下子宫肌瘤剔除术在子宫肌瘤患者中的治疗效果[J].沈阳药科大学学报,2021,38(S2):15-17.
[16] 丁新颖,陈锡琴.腹腔镜子宫肌瘤剔除术对子宫肌瘤患者切口感染率、术后并发症发生率及近期疗效观察分析[J].中华肿瘤防治杂志,2020,27(S01):133-133,135.
[17] 王璇,许莉,孙明霞,等.开腹手术与腹腔镜下子宫肌瘤剔除术对患者肌瘤复发、氧化应激及血清学创伤指标的影响[J].中国内镜杂志,2021,27(4):26-30.
[18] 邢雅玲,李芳,杨玉芳,等.腹腔镜子宫肌瘤剔除术对患者应激反应炎症水平及胃肠功能状况的影响[J].中国妇幼保健,2021,36(23):5590-5593.
[19] 陆星星,任豆豆,徐华洲,等.资癸益冲方对卵巢储备功能下降模型大鼠卵巢氧化损伤的影响及其作用机制[J].北京中医药大学学报,2020,43(7):561-568.
[20] ZHAO Y T,YIN H,HU C,et al.Tilapia skin peptides restore cyclophosphamide-induced premature ovarian failure via inhibiting oxidative stress and apoptosis in mice[J].Food Funct,2022,13(3):1668-1679.
[21] 顾蓉,陈先侠,徐福霞,等.腹腔镜下子宫肌瘤剔除术对围绝经期子宫肌瘤患者卵巢功能的影响[J].中国性科学,2020,29(3):75-78.
[22] 王琼,李瑾颖,木菁菁.腹腔镜子宫肌瘤剔除术对患者卵巢储备功能、妊娠结局的影响[J].中国计划生育学杂志,2023,31(10):2322-2326.
[23] TORPHY R J,CHAPMAN B C,FRIEDMAN C,et al.Quality of life following major laparoscopic or open pancreatic resection[J].Ann Surg Oncol,2019,26(9):2985-2993.
[24] 田艺,张坤,苏青,等.腹腔镜下子宫肌瘤微创剔除术治疗子宫肌瘤临床疗效及对患者应激反应的影响研究[J].陕西医学杂志,2018,47(1):93-95.
[25] SHEN Q,CHEN M,WANG Y,et al.Effects of laparoscopic versus minilaparotomic myomectomy on uterine leiomyoma:A meta-analysis[J].J Minim Invasive Gynecol,2015,22(2):177-184.

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备注/Memo

备注/Memo:
基金项目:安徽省高校科研计划项目(2023AH050667)
更新日期/Last Update: 2024-10-08