首页|腹腔镜手术治疗宫外孕的临床效果及对导尿管留置时间的影响

腹腔镜手术治疗宫外孕的临床效果及对导尿管留置时间的影响

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目的 评估腹腔镜手术应用在宫外孕(EP)患者中的临床效果及对导尿管留置时间的影响。方法 纳入2020年1月-2023年12月期间我院收治的60例EP患者,依据治疗方法分组,对照组30例行开腹手术,观察组30例行腹腔镜手术,评价组间临床指标、应激反应[皮质醇(COR)、血糖(GLU)、醛固酮(ALD)]、甲状腺激素[游离T4(FT4)、游离T3(FT3)]、炎症因子[白介素-6(IL-6)、白介素-4(IL-4)、干扰素-γ(IFN-γ)]、并发症。结果 ①与对照组比较,观察组各项临床指标均更佳,并发症更少,P<0。05;②术后,两组COR、GLU、ALD、IL-6、IL-4、IFN-γ均升高,FT4、FT3均降低,但是观察组COR、GLU、ALD、IL-6、IL-4、IFN-γ均低于对照组,FT4、FT3均高于对照组,P<0。05。结论 对EP患者实施腹腔镜手术,可以减少导尿管留置时间等临床指标,缓解应激反应、炎症反应,减轻对甲状腺激素的影响,减少并发症。
The clinical effect of laparoscopic surgery for ectopic pregnancy and its impact on the duration of catheterization
Objective To evaluate the clinical efficacy of laparoscopic surgery in patients with ectopic pregnancy(EP)and its impact on the duration of catheterization.Methods A total of 60 patients with EP admitted to our hospital from January 2020 to December 2023 were and divided into groups according to treatment methods.The control group(n=30)underwent open surgery,while the observation group(n=30)laparoscopic surgery.Clinical indicators,stress response[cortisol(COR),glucose(GLU),aldosterone(ALD)],thyroid hormones[free T4(FT4),free T3(FT3)],inflammatory factors[interleukin-6(IL-6),interleukin-4(IL4),interferon-γ(IFN-γ)],and complications were compared between the two groups.Results ①Compared with the control group,the observation group had better clinical indicators and fewer complications(P<0.05).②After surgery,COR,GLU,ALD,IL-6,IL-4,and IFN-γ increased in both groups,while FT4 and FT3 decreased.However,COR,GLU,ALD,IL-6,IL-4,and IFN-γ in the observation group were lower than those in the control group(P<0.05),the FT4 and FT3 were higher than those in the control group(P<0.05).Conclusion Laparoscopic surgery for EP patients can improve clinical indicators such as catheter retention time,alleviate stress and inflammatory reactions,reduce the impact on thyroid hormones,and reduce complications.

laparoscopic surgeryEctopic pregnancyRetention time of urinary catheter

潘姣、陈剑梅

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肇庆汇康医院,广东 肇庆 526200

肇庆粤大中医院,广东 肇庆 526200

腹腔镜手术 宫外孕 导尿管留置时间

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)