CAJ | 학술논문

目的：探讨腹腔镜手术对异位妊娠患者甲状腺激素及肝酶的影响。方法选择该院收治的70例异位妊娠患者，按照随机数字表法将患者分为腹腔镜组和开腹组各35例，检测患者手术前后甲状腺激素及肝酶。结果经两因素重复测量方差分析发现，两组FT3、FT4水平组间比较、时点间比较及分组与时间的交互作用均有显著性意义（P＜0．05）；腹腔镜组的术中出血量、住院费用明显少于开腹组（P＜0．05）；腹腔镜组的排气时间、住院天数明显短于开腹组（P＜0．05）。结论腹腔镜手术在术后早期可抑制异位妊娠患者甲状腺激素的分泌，但影响幅度小，恢复快，对甲状腺激素和肝酶无明显影响。
목적：탐토복강경수술대이위임신환자갑상선격소급간매적영향。방법선택해원수치적70례이위임신환자，안조수궤수자표법장환자분위복강경조화개복조각35례，검측환자수술전후갑상선격소급간매。결과경량인소중복측량방차분석발현，량조FT3、FT4수평조간비교、시점간비교급분조여시간적교호작용균유현저성의의（P＜0．05）；복강경조적술중출혈량、주원비용명현소우개복조（P＜0．05）；복강경조적배기시간、주원천수명현단우개복조（P＜0．05）。결론복강경수술재술후조기가억제이위임신환자갑상선격소적분비，단영향폭도소，회복쾌，대갑상선격소화간매무명현영향。
Objective To investigate the effect of laparoscopic surgery on metabolism of thyroid hormones and liver enzymes in ectopic pregnancy.Methods Seventy ectopic pregnancy patients were assigned into laparoscopy group and laparotomy group (n=35 each) according to the random number table.Thyroid hormones and liver enzymes before and after surgery were detected.Results Two-factor repeated measures analysis of variance showed that there were statistical significance in FT3,FT4 level comparison between groups, point comparison between groups and time interaction(P<0.05).Intraoperative blood loss and hospital costs of laparoscopy group were significantly less than those in laparotomy group(P<0.05).Exhaust time and hospital stay of laparoscopy group was significantly shor-ter than those in laparotomy group (P<0.05 ).Conclusions Laparoscopic surgery can restrain the secretion of thyroid hormones in patient with ectopic pregnancy,but the influence is not great and the recovery is quick,which has no obvious effect on thyroid hormones and liver enzymes.