子宫切除手术途径对组织损伤的评估
Chinese Medical Journal of Metallurgical Industry(2006)
Abstract
目的:评估和比较腹腔镜手术与常规子宫切除对组织损伤的程度.方法:选择2003年2月至2004年9月期间81例有妇科手术指征的患者,分别行腹腔镜下子宫切除术(LH)29例,开腹子宫切除术(AH)36倒及阴式子宫切除术(VH)16例.在手术当日早6时和术后24小时采集患者静脉血做标本检测IL-6、TNF-α和CRP.结果:AH组检测的IL-6、TNF-α和CRP明显高于LH组和VH组(P<0.01),但LH和VH两组之间无显著差异(P>0.05).结论:腹腔镜手术对免疫功能的抑制程度轻,说明腹腔镜手术对机体的创伤较开腹手术小.
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Key words
different hysterectomy approaches,tissues damage
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