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目的 探讨腹腔镜手术对妇科疾病合并 2型糖尿病患者的影响。方法 1998年 10月至 2 0 0 2年 10月采用前瞻性方法 ,分析腹腔镜手术 (观察组 2 0例 )和剖腹手术 (对照组 2 0例 )对合并 2型糖尿病的妇科手术患者的手术前后血糖的影响 ,以及手术前后需使用胰岛素控制病情的情况。结果 观察组术后即时血糖 (8 78±2 0 4 )mmol/L ,对照组 (10 99± 1 6 1)mmol/L(P <0 0 1)。术后观察组需使用胰岛素控制病情者 5例 ,对照组 12例 (P <0 0 5 )。结论 腹腔镜手术对妇科疾病合并 2型糖尿病患者血糖的影响明显小于剖腹手术。
Objective To investigate the impact of laparoscopic surgery on gynecological diseases with type 2 diabetes. Methods From October 1998 to October 2002, we prospectively analyzed the surgical outcomes of laparoscopic surgery (20 cases in observation group) and laparotomy (20 cases in control group) for gynecological surgery patients with type 2 diabetes mellitus Before and after the impact of blood sugar, and the need to use insulin before and after surgery to control the condition of the situation. Results The immediate postoperative blood glucose (8 78 ± 20 4) mmol / L in the observation group and (10 99 ± 1 6 1) mmol / L in the control group (P 0 01). Postoperative observation group required the use of insulin control of the disease in 5 cases, control group, 12 patients (P <0 05). Conclusion The effect of laparoscopic surgery on blood glucose in patients with gynecological diseases complicated with type 2 diabetes is significantly less than that of laparotomy.