腹腔镜辅助下肌瘤剔除术对患者抗穆勒氏管激素及免疫功能的影响
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Effect of laparoscopic assisted resection of myoma on AMH and immune function in patients
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    摘要:

    目的 研究腹腔镜辅助下的肌瘤剔除术对患者抗苗勒氏管激素(AMH)及免疫功能的影响。 方法 选取2015 年5 月- 2016 年5 月在该院接受子宫肌瘤剔除术治疗的患者102 例,以数字法随机分为 观察组及对照组各51 例。对照组患者采用传统的剖腹手术治疗,而观察组患者则在腹腔镜辅助下行子宫肌 瘤剔除术治疗。对比两组手术各项指标情况、治疗前后卵巢功能以及免疫功能。结果 观察组术中出血量 为(83.40±19.20)ml,明显低于对照组的(148.70±21.40)ml ;治疗前两组AMH 及促卵泡激素(FSH)水 平对比无显著差异,治疗后观察组AMH 水平明显高于对照组,而FSH 水平明显低于对照组;治疗前两组免 疫球蛋白G(IgG)、免疫球蛋白A(IgA)与免疫球蛋白M(IgM)水平对比无显著差异,治疗后观察组IgG、 IgA 与IgM 水平均明显高于对照组;治疗前两组CD3+、CD4+ 与CD8+ 水平对比无显著差异,治疗后观察组 CD3+、CD4+ 与CD8+ 水平均明显高于对照组,上述差异均有统计学意义(均P <0.05)。结论 腹腔镜辅助 下的肌瘤剔除术对患者AMH 水平、FSH 水平以及免疫功能影响较小,有利于患者早日康复。

    Abstract:

    Objective To study the effect of laparoscopic assisted resection of myoma on AMH and immune function in patients. Methods From May 2015 to May 2016, 102 patients underwent myomectomy treatment, the numbers were randomly divided into observation group and control group with 51 cases in each group. The control group was treated with traditional laparotomy treatment, and observation of patients in laparoscopic myomectomy in treatment of contrast. The indexes of two groups of surgery, before and after the treatment of ovarian function and immune function. Results The observation group of intraoperative bleeding in (83.40 ± 19.20) ml, significantly lower than the control group (148.70 ± 21.40) ml; no significant differences between two groups of AMH and FSH respectively before treatment, after treatment were observed in group AMH was significantly higher than the control group, while the level of FSH was significantly lower than the control group before treatment; two groups of IgG, there was no significant difference between IgA and IgM levels were observed in group IgG respectively after treatment, IgA and IgM were significantly higher than those in control group; the two groups before treatment CD3+, there was no significant difference between CD4+ and CD8+ levels were observed in group CD3+ respectively after treatment, CD4+ and CD8+ were significantly higher than those in control group. The difference there was statisticallysignificant (P < 0.05). Conclusion The AMH level, FSH level and immune function of the patients with laparoscopic assisted resection of myoma of uterus is small, which is beneficial to the recovery of patients.

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杨力,侯军,吕艳文.腹腔镜辅助下肌瘤剔除术对患者抗穆勒氏管激素及免疫功能的影响[J].中国内镜杂志,2017,23(11):63-67

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  • 收稿日期:2017-05-25
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  • 在线发布日期: 2017-11-30
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