论文部分内容阅读
目的研究腹腔镜手术和剖腹手术对机体凝血系统的影响。方法将60例需行妇科手术的患者分成两组,腹腔镜手术组30例(N1组)和剖腹手术组30例(N2组),采用法国STA-Compact全自动血凝仪检测60例患者术前、术后24h及48h静脉血清的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)和纤维蛋白原(FIB)水平,并对两组结果进行比较分析。结果两组术后24h及48hPT、APTT比术前明显降低,FIB明显升高(P<0.05),但N1组和N2组组间差别无统计学意义(P>0.05)。结论腹腔镜手术和剖腹手术均使患者机体处于高凝状态,但尚不能得出腹腔镜手术后患者血栓性疾病的发生率比剖腹手术低的结论。
Objective To study the effects of laparoscopic surgery and laparotomy on the coagulation system of the body. Methods Sixty patients undergoing gynecological surgery were divided into two groups: 30 patients in laparoscopic surgery group (N1 group) and 30 patients in laparotomy group (N2 group). Sixty patients Prothrombin time (PT), activated partial thromboplastin time (APTT) and fibrinogen (FIB) levels of venous serum before and 24 h and 48 h after operation were compared and analyzed. Results The APTT was significantly lower at 24 h and 48 h postoperatively in both groups than in preoperation and FIB was significantly increased (P <0.05). However, there was no significant difference between N1 and N2 groups (P> 0.05). Conclusions Both laparoscopic surgery and laparotomy make the patient hypercoagulable. However, the incidence of thrombotic diseases after laparoscopic surgery is lower than that of laparotomy.