首页|腹腔镜下卵巢囊肿剔除术对患者卵巢功能、炎症因子及T淋巴细胞亚群水平的影响

腹腔镜下卵巢囊肿剔除术对患者卵巢功能、炎症因子及T淋巴细胞亚群水平的影响

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[目的]探讨腹腔镜下卵巢囊肿剔除术对患者卵巢功能、炎症因子及T淋巴细胞亚群水平的影响.[方法]选取 2019 年 1 月至 2023 年 1 月本院妇科收治的 76 例卵巢囊肿患者,根据手术方法不同分为对照组和观察组,每组 38 例.对照组行开腹卵巢囊肿剔除术治疗,观察组行腹腔镜下卵巢囊肿剔除术治疗,比较两组手术前后卵巢功能[雌二醇(E2)、促卵泡激素(FSH)、黄体生成素(LH)]、炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]及 T 淋巴细胞亚群水平(CD3+、CD4+及 CD4+/CD8+).[结果]两组术后 3 个月 FSH、LH 均升高,但观察组低于对照组(P<0.05);两组术后 3 个月 E2 均降低,但观察组高于对照组(P<0.05).观察组患者术后 IL-6、TNF-α、CRP 水平低于对照组,差异有统计学意义(P<0.05).两组患者术前 CD4+、CD4+/CD8+比较,差异无统计学意义(P>0.05);术后 1d,两组患者血清CD3+、CD4+、CD4+/CD8+均较术前明显降低,但观察组高于对照组,差异均有统计学意义(P<0.05);观察组患者术后 3d血清 CD3+、CD4+、CD4+/CD8+恢复至术前水平.[结论]腹腔镜下卵巢囊肿剔除术可有效促进患者卵巢功能恢复,并减轻机体炎症反应,提高T淋巴细胞亚群水平,减轻对机体细胞免疫功能的抑制,有利于患者术后康复.
The Effects of Laparoscopic Ovarian Cystectomy on Ovarian Function,Inflammatory Factors and T Lymphocyte Subsets
[Objective]To explore the effects of laparoscopic ovarian cystectomy on ovarian function,in-flammatory factors,and T lymphocyte subsets in patients.[Methods]A total of 76 patients with ovarian cysts admitted to the gynecology department of our hospital from January 2019 to January 2023 were selected and di-vided into a control group and an observation group based on different surgical methods,with 38 cases in each group.The control group underwent open ovarian cystectomy,while the observation group underwent laparo-scopic ovarian cystectomy.Ovarian function[estradiol(E2),follicle stimulating hormone(FSH),luteinizing hormone(LH)],inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)],and T lymphocyte subsets(CD3+,CD4+,and CD4+/CD8+)before and after surgery were compared between the two groups.[Results]FSH and LH increased in both groups 3 months after surgery,but the observation group was lower than the control group(P<0.05);E2 levels decreased in both groups 3 months after surgery,but the observation group was higher than the control group(P<0.05).The postoper-ative levels of IL-6,TNF-α,and CRP in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in pre-operative CD4+ and CD4+/CD8+ between the two groups of patients(P>0.05).On the 1st day after surger-y,the serum CD3+,CD4+,CD4+/CD8+ levels in both groups of patients were significantly lower than be-fore surgery,but the observation group was higher than the control group,and the differences were statistical-ly significant(P<0.05).The serum CD3+,CD4+,CD4+/CD8+ levels in the observation group patients re-turned to preoperative levels 3 days after surgery.[Conclusion]Laparoscopic ovarian cyst removal surgery can effectively promote the recovery of ovarian function in patients,reduce the body's inflammatory response,in-crease the level of T lymphocyte subsets,and alleviate the suppression of cellular immune function,which is beneficial for postoperative recovery of patients.

Ovarian Cysts/SULaparoscopyOvarian Function TestsT-Lymphocyte Subsets

王敏、李国玉、王兰

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安顺市妇幼保健院妇科,贵州 安顺 561000

卵巢囊肿/外科学 腹腔镜检查 卵巢功能试验 T淋巴细胞亚群

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(2)
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