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目的探讨超敏C反应蛋白(High-sensitivity C-reactiveprotein,hs-CRP)在腹腔镜与开腹行输卵管妊娠保守手术对患者治疗效果的监测。方法选择2009年1月至2010月11月因输卵管妊娠行腹腔镜病灶清除术者62例(1组);行开腹病灶清除术者50例(2组)。全部患者在术前24h及术后24、72、120h采集外周静脉血,测定hs-CRP水平。结果 1、2组术前hs-CRP水平相比较,1组术后120h与术前hs-CRP比较,差异均无统计学意义(P>0.05);1、2组术后24、72h血清hs-CRP与其术前24h相比均明显升高,差异有统计学意义(P<0.05);1组术后血清hs-CRP均低于2组术后相同时间段的hs-CRP水平(P<0.05)。结论输卵管妊娠患者行腹腔镜保守手术相对于开腹保守手术,更大程度地保护其术后生育功能。
Objective To investigate the effect of high-sensitivity C-reactive protein (hs-CRP) on laparoscopic and open surgical tubal pregnancy surgery. Methods From January 2009 to November 2010, 62 patients undergoing laparoscopic removal of tubal pregnancy (group 1) and 50 patients undergoing open radical debridement (group 2). Peripheral venous blood was collected 24h and 72h, 120h after operation in all patients, and hs-CRP levels were measured. Results The preoperative hs-CRP levels in groups 1 and 2 were not significantly different between preoperative 120 h and preoperative hs-CRP (P> 0.05). The serum hs (P <0.05). The serum hs-CRP level in postoperative serum of group 1 was lower than that of group 2 at the same time (P < 0.05). Conclusions Laparoscopic conservative surgery in patients with tubal pregnancy relative to laparotomy conservative surgery to a greater extent to protect their postoperative reproductive function.