学术论文

      不同手术方式对输卵管吻合术患者性激素及机体应激激素的影响比较

      Influence comparison of different operation methods on the sex hormones and body stress hormones of patients received fallopian tube anastomosis

      摘要:
      目的:观察与比较不同手术方式对输卵管吻合术患者性激素及机体应激激素的影响程度.方法:选取2013年1月至2016年1月期间本院进行输卵管吻合术治疗的90例患者为研究对象,将其根据手术方式的不同分为A组(常规开腹输卵管吻合术组)45例和B组(常规腹腔镜下输卵管吻合术组)45例,然后将两组患者术前及术后不同时间的性激素及机体应激激素水平进行分别统计与比较.结果:术前两组患者的性激素及机体应激激素水平均无明显差异,P均>0.05,而术后1个月、2个月及3个月B组的FSH及LH均低于A组,E2均低于A组,术后1d、2d及3dB组的机体应激激素指标均低于A组,P均<0.05,均有显著性差异.结论:常规腹腔镜下输卵管吻合术对输卵管吻合术患者性激素及机体应激激素的影响好于常规开腹输卵管吻合术,更有助于患者术后各个方面的恢复.
      Abstract:
      Objectives:To observe and compare the influence of different operation methods on the sex hormones and body stress hormones of patients received fallopian tube anastomosis.Methods:90 patients receiving fallopian tube anastomosis from January 2013 to January 2016 were selected as the study object,and they were divided into group A (conventional open fallopian tube anastomosis group,45 cases) and group B (conventional laparoscopic fallopian tube anastomosis group,45 cases) according to different operation methods.The sex hormones and body stress hormones of two groups before the operation and at different time after the operation were respectively analyzed and compared.Results:The sex hormones and body stress hormones of two groups before the operation had no obvious differences,all P > 0.05.While the E2,FSH and LH of group B at first,second and third month after the operation were all lower than those of group A,the body stress hormones of group B at first,second and third day were all lower than those of group A,all P < 0.05,and the differences were all significant.Conclusion:The influence of conventional laparoscopic fallopian tube anastomosis on the sex hormones and body stress hormones of patients is better than that of conventional open fallopian tube anastomosis,which is more helpful for the postoperative recovery.
      作者: 李晶 左学骞
      Author: LI Jing ZUO Xueqian
      作者单位: 沧州市人民医院妇产科,河北沧州,061000
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R711.76
      在线出版日期: 2017年12月22日