| 马丽,梁小妍,陈雄.腹腔镜子宫肌瘤剔除术的疗效及对肌红蛋白、缺血修饰白蛋白、总抗氧化能力水平的影响[J].安徽医药,2022,26(1):165-167. |
| 腹腔镜子宫肌瘤剔除术的疗效及对肌红蛋白、缺血修饰白蛋白、总抗氧化能力水平的影响 |
| Effect of laparoscopic myomectomy on the levels of MYO, IMA and TAC |
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| DOI：10.3969/j.issn.1009-6469.2022.01.038 |
| 中文关键词: 子宫肌瘤切除术 腹腔镜检查 肌红蛋白 缺血修饰白蛋白 总抗氧化能力 应激指标 影响 |
| 英文关键词: Uterine myomectomy Laparoscopy Myohemoglobin Ischemia modified albumin Total antioxidant activity Stress indicators Influence |
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| 中文摘要: |
| 目的观察腹腔镜手术治疗子宫肌瘤的效果及对病人肌红蛋白( MYO)、缺血修饰白蛋白( IMA)、总抗氧化能力( TAC)水平的影响。方法选取上海市宝山区吴淞中心医院 2017年 3月至 2018年 5月接收的子宫肌瘤病人 80例的临床资料进行分析。根据其手术方式分为腹腔镜组( 40例)和开腹组( 40例)。观察两组病人手术一般情况，比较两组病人 IMA等应激指标的差异。结果腹腔镜组术中出血量( 109.24±10.15)mL明显低于开腹组( 132.15±8.62)mL、住院时间( 4.35±1.11)d显著少于开腹组( 6.98±1.03)d(均 P<0.001)。术后，腹腔镜组病人的 IMA(66.12±6.01)U/L、MYO(22.02±2.78)ng/mL低于开腹组的( 74.89± |
| 英文摘要: |
| Objective To observe the effect of laparoscopic surgery on uterine fibroids and its effect on the levels of MYO, IMA and TAC.Methods The clinical data of 80 patients with uterine fibroids admitted to Wusong Central Hospital of Baoshan District inShanghai from March 2017 to May 2018 were selected for analysis. According to their surgical methods, they were divided into laparo-scopic group (40 cases) and laparotomy group (40 cases). The general condition of the two groups of patients was observed, and the dif-ferences in stress indicators such as IMA were compared between the two groups.Results The intraoperative blood loss (109.24±10.15)mL of the laparoscopic group was significantly lower than that of the laparotomy group (132.15±8.62)mL, and the hospital stay(4.35±1.11)d was significantly shorter than that of the laparotomy group (6.98±1.03)d(all P<0.001). After surgery, the IMA (66.12±6.01)U/L and MYO (22.02±2.78)ng/mL of the laparoscopic group were lower than those of the laparotomy group (74.89±5.49)U/L and (26.98±3.47)ng/mL, and the level of TAC (11.88±2.24)kU/L was higher than that of the laparotomy group (9.15±1.49)kU/L(all P<0.001).Con. clusion Laparoscopic surgery has a good therapeutic effect on uterine fibroids, and the postoperative oxidative stress response is light-er, which is beneficial to patients after surgery. |
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