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目的:比较腹腔镜和开腹手术两种不同手术方式对卵巢囊肿患者机体应激反应的影响。方法:将63例住院的卵巢囊肿患者随机分为腹腔镜组和开腹手术组,分别检测患者术前1天、术后1天及术后3天血清甲状腺激素和皮质醇水平。结果:两组患者TT3、TT4在术后1天均迅速下降,TSH、皮质醇在术后1天均迅速上升;腹腔镜手术组术后皮质醇、甲状腺激素水平均较开腹手术恢复得快且好。结论:腹腔镜手术与开腹手术相比对机体的应激刺激小,腹腔镜手术是卵巢囊肿患者安全、有效、损伤少的治疗手段。
OBJECTIVE: To compare the effects of laparoscopic surgery and laparotomy on the stress response in ovarian cyst patients. Methods: Sixty - three patients with ovarian cyst were randomly divided into laparoscopic group and laparotomy group. The serum levels of thyroid hormone and cortisol were detected at 1 day, 1 day and 3 days after operation. Results: TT3 and TT4 decreased rapidly in both groups and TSH and Cortisol rapidly increased one day after operation. Corticosteroids and thyroid hormone recovered more quickly than laparotomy in laparoscopic surgery group And good. Conclusion: Laparoscopic surgery is less stressful to the body than laparotomy. Laparoscopic surgery is a safe, effective and less invasive treatment for patients with ovarian cyst.