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目的研究及比较不同子宫肌瘤剔除术对患者局部微循环及炎性指标的影响情况。方法选取2012年2月-2014年1月于厦门市妇幼保健院进行手术治疗的54例子宫肌瘤患者为研究对象,将54例患者随机分为A组和B组,每组各27例,A组进行常规开腹子宫肌瘤剔除术治疗,B组则进行腹腔镜子宫肌瘤剔除术治疗,然后将两组患者术前及术后1 d、3 d及5 d的局部微循环及炎性指标进行比较。结果术前两组患者的局部微循环及炎性指标比较,差异均无统计学意义(P均>0.05),而术后1 d、3 d及5 d B组的局部微循环均好于A组,血清急性时相反应蛋白及其他炎性指标均低于A组(P均<0.05),两组术后的评估结果间比较,差异有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剔除术对患者局部微循环及炎性指标的不良影响明显小于开腹子宫肌瘤剔除术,因此认为腹腔镜子宫肌瘤剔除术的临床应用价值相对更高。
Objective To study and compare the effects of different myomectomy on local microcirculation and inflammatory indexes. Methods Fifty-four patients with uterine fibroids who underwent surgery in Xiamen MCH from February 2012 to January 2014 were enrolled. Fifty-four patients were randomly divided into A group and B group, with 27 cases in each group. A group of conventional open myomectomy myomectomy, B group was treated by laparoscopic myomectomy, and then two groups of patients before and after 1 d, 3 d and 5 d of local microcirculation and inflammation Sexual indicators are compared. Results There were no significant differences in local microcirculation and inflammatory parameters between the two groups before operation (P> 0.05), while the local microcirculation in group B at 1 d, 3 d and 5 d after operation was better than that of A (P <0.05). There was a significant difference between the two groups in the postoperative evaluation results, the difference was statistically significant (P <0.05). Conclusion Laparoscopic myomectomy for patients with local microcirculation and inflammatory adverse effects was significantly less than open myomectomy, so that the clinical value of laparoscopic myomectomy is relatively higher.