CAJ | 학술논문

目的对比腹腔镜手术与开腹手术治疗卵巢良性肿瘤对患者免疫功能的影响.方法 86例卵巢良性肿瘤患者随机分为腹腔镜组(n=43)与开腹组(n=43),分别给予腹腔镜及开腹手术治疗,比较两组患者术后中性粒细胞吞噬率、吞噬指数以及CD3+、CD4+等T细胞亚群水平.结果开腹组术后中性粒细胞吞噬率、吞噬指数、血清CD3+、CD4+以及CD3+/CD4+比值均显著低于腹腔镜组,差异均具有显著统计学意义(P<0.01).结论腹腔镜治疗妇科良性肿瘤能够减少手术对免疫功能的损伤,有利于患者术后恢复.
목적 대비복강경수술여개복수술치료란소량성종류대환자면역공능적영향.방법 86례란소량성종류환자수궤분위복강경조(n=43)여개복조(n=43),분별급여복강경급개복수술치료,비교량조환자술후중성립세포탄서솔、탄서지수이급CD3+、CD4+등T세포아군수평.결과 개복조술후중성립세포탄서솔、탄서지수、혈청CD3+、CD4+이급CD3+/CD4+비치균현저저우복강경조,차이균구유현저통계학의의(P<0.01).결론 복강경치료부과량성종류능구감소수술대면역공능적손상,유리우환자술후회복.
Objective To discuss the clinical influence of laparoscopic surgery and laparotomy on immune function in the treatment of patients with ovarian benign tumor. Methods Eighty-six patients with ovarian benign tu-mor were randomly divided into the laparoscopic group (n=43) and the laparotomy group (n=43), which were treated with laparoscopic surgery and laparotomy, respectively. Then the devouring rate and devouring index of neutrophils, and levels of CD3+, CD4+T cells were compared between the two groups. Results The devouring rate and devouring index of neutrophils, CD3+, CD4+, and CD3+/CD4+in the laparotomy group were significantly lower than those in the lap-aroscopic group (P<0.01). Conclusion Laparoscopic surgery can reduce the damage on the immune function, with great significance on postoperative recovery.