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目的:探讨妇科患者合并甲状腺减退对围手术期的影响。方法:选择2010年9月～2011年5月吉林大学第二医院妇科手术患者121例。按照患者血清促甲状腺激素值将病例分为两组:亚临床甲减组57例(TSH≥2.5 mU/L);甲功正常的对照组64例(0.3 mU/L0.05);17～40岁妇女亚临床甲减组腹腔镜术后排气时间明显比正常组延长(P<0.05);40岁以上妇女亚临床甲减组腹腔镜术后排气时间未明显延长(P>0.05);亚临床甲减组与正常组腹腔镜下卵巢良性肿瘤术后排气时间相比明显延长(P<0.05);亚临床甲减组与正常组不同年龄妇女开腹术后排气时间/麻醉时间和腹腔镜术后排气时间/麻醉时间比较,均不具有统计学差异(P>0.05)。结论:妇科患者合并甲状腺功能减退明显延长妇科术后排气时间,可提高术后并发症的患病率。
Objective: To investigate the impact of gynecological patients with hypothyroidism on perioperative period. Methods: From September 2010 to May 2011, 121 cases of gynecologic surgery in the Second Hospital of Jilin University were selected. The patients were divided into two groups according to the serum thyrotropin value: 57 cases (TSH≥2.5 mU / L) in subclinical hypothyroidism group, 64 cases (0.3 mU / L 0.05). After the laparoscopic surgery in women aged 17-40 years The exhaust time was significantly longer than that of the normal group (P <0.05). The duration of laparoscopic exhaust in the subclinical hypothyroidism group was no longer than that in the normal group (P> 0.05). The subclinical hypothyroidism group and the normal group laparoscopic Ovarian benign tumor postoperative exhaust time was significantly longer (P <0.05); subclinical hypothyroidism group and normal group of women of different ages after laparotomy exhaust / anesthesia time and laparoscopic exhaust / anesthesia time Compared with no statistical difference (P> 0.05). Conclusion: Gynecological patients with hypothyroidism significantly prolonged postoperative gynecological exhaust time, can increase the incidence of postoperative complications.