妇科腹腔镜与开腹手术对血象影响比较.docVIP

妇科腹腔镜与开腹手术对血象影响比较 　　[摘要] 目的:探讨妇科腹腔镜与开腹手术对血象的影响。方法:收集我院2008年1～12月住院手术的患者210例,分别比较腹腔镜与开腹手术患者术前和术后白细胞(WBC)、中性粒细胞百分比(GR)、血红蛋白(Hb)和血小板(Pt)的情况。结果:腹腔镜术前、术后的WBC、Hb、GR、Pt比较无显著性差异(P0.05),开腹手术术前、术后的WBC和GR比较有显著性差异(P0.05),腹式子宫切除术和腹式肌瘤剔除术术前、术后Hb比较有显著性差异(P0.05)。结论:腹腔镜是微创手术,基本不影响血象。 　　[关键词] 腹腔镜;开腹手术;血象 　　[中图分类号] R713[文献标识码]A [文章编号]1673-7210(2010)06(c)-045-02 　　 　　Comparison betweenhemogramaffection oflaparoscopy and laparotomy in gynecology 　　ZHONG Qian, ZHANG Weijian, LIAN Xiaoqin, LIU Wanmin, WANG Haiqing 　　(Department of Gynecology, the Central Hospital of Jiangmen City, Jiangmen 529070, China) 　　[Abstract] Objective: To investigate the hemogram affection of laparoscopy and laparotomy in gynecological. Methods: The levels of white blood cell (WBC), neutrophil percentage (GR), hemoglobin (Hb), platelets (Pt) of 210 patients in our hospital from January to December in 2008 were compared between laparoscopy and laparotomy preoperative and postoperative. Results: The levels of WBC, Hb, GR, Pt of patient with laparoscopy were no significant differences before and after the laparoscopy (P0.05); the level of WBC, GR of patients with laparotomy before and after operation were significant difference (P0.05); the levels of Hb was significant difference on abdominal hysterectomy and abdominal hysteromyomectomy preoperative and postoperative (P0.05). Conclusion: Laparoscopy is a minimally invasive surgery and does not affect the hemogram. 　　[Key words] Laparoscopy; Laparotomy; Hemogram 　　 　　腹腔镜手术突出的优点是手术创伤小、患者痛苦少、术后恢复快。近几年,腹腔镜技术日益深入到妇科临床实践中,能达到与传统开腹方法一样,甚至更好的疗效。血象检查是临床上最常用和较重要的检查项目,能反映人最基本的身体状况,人体在某些生理或发生疾病的情况下,常可引起血象发生变化。本文分析比较了腹腔镜与开腹手术对WBC、GR、Hb、Pt的影响。现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　随机选择2008年1～12月在我院住院行腹腔镜或开腹手术治疗的病例210例,患者无合并症,术前、术后无输血史,病理为良性病变。其中,腹腔镜子宫切除35例,腹腔镜下子宫肌瘤剔除术35例,腹腔镜下附件手术35例,腹式全子宫切除术35例,腹式子宫肌瘤剔除术35例,腹式附件手术35例。年龄:腹腔镜组(38.6±14.3)岁,开腹组(39.2±9.6)岁,两组一般资料比较无显著性差异(P0.05),具有可比性。 　　1.2 方法 　　患者术前1 d晨取静脉血2 ml检测,术后第1天清晨抽血再次检测。用6318型全自动血球分析仪检测血象。 　　1.3 统计学方法 　　数据以均数±标准差(x±s