不同手术治疗方式对卵巢良性肿瘤患者免疫功能的影响

Effect of different surgical treatment on immune function of patients with benign ovarian tumor

  • 摘要: 目的 探讨卵巢良性肿瘤不同手术方式治疗对患者免疫功能的影响.方法 回顾性分析卵巢良性肿瘤68例,按照手术方式的不同,分为开腹组以及腹腔镜微创组.比较2组患者围术期的情况.比较2组患者术前1d及术后1、3d的血白细胞计数、CRP、血清白细胞介素等水平变化.结果 微创组的手术时间、镇痛泵按压次数及术中出血量均显著少于开腹组(P<0.05).微创组术后肠功能恢复时间显著短于开腹组(P<0.05).微创组术后1d时白细胞计数显著低于开腹组(P<0.05).微创组术后1、3d的CRP水平显著低于开腹组(P<0.05).微创组的IL-6、IL-2水平在术后1、3d与开腹组比较,IL-6降低更为显著(P<0.05),而IL-2升高更为显著(P<0.05).结论 腹腔镜微创手术治疗卵巢良性肿瘤具有手术创伤小、疼痛反应轻、对机体免疫功能影响小的效果.

     

    Abstract: Objective To explore the effect of different surgical treatment on immune function of patients with benign ovarian tumor.Methods A total of 68 patients with benign ovarian tumor were randomly divided into laparotomy group and laparoscopic minimally invasive group.The perioperative situation of two groups was compared.The levels of white blood cell count,CRP and serum interleukin were compared one day before operation,one day after operation and three days after operation between two groups.Results The operative time,number of analgesic pump presses and the amount of blood loss in the minimally invasive group were significantly lower than those in the laparotomy group (P < 0.05).The recovery time of the intestinal function in the minimally invasive group was significantly shorter than that in the laparotomy group (P < 0.05).The number of white blood cells in the minimally invasive group was significantly lower than that in the laparotomy group one day after operation (P < 0.05).The level of CRP in the minimally invasive group was significantly lower than in the laparotomy group 1 and 3 days after operation (P < 0.05).Compared with the laparotomy group,the level of IL-6 significantly decreased (P < 0.05) and IL-2 significantly increased at 1 and 3 days after operation in the minimally invasive group (P < 0.05).Conclusion Laparoscopic minimally invasive surgery for the treatment of benign ovarian tumor has the advantages of less surgical trauma,less pain,and less effect on immune function.

     

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