机体在针式内镜甲状腺切除术下的应激性反应分析.pdfVIP

The clinical study of trauma induced from miccoli endoscopic ABSTRACT Objective:The current method of treating the thyroid disease is surgical removal of the more, the traditional surgical methods dermatoglyPh in incision, anterior portion in the anterior Portion neckline length ranging from surgical scars, along with the progress of science and technology development of minimally invasive surgery of the thyroid gland, is widely applied in normal thyroid resection cavity mirror, on the basis of a needle decay and resection of the thyroid gland. This study will open thyroidectomy, ordinary cavity mirror thyroidectomy with pin type cavity mirror thyroidectomy for the body and compare the influence of local and systemic trauma, objective conclusion, guide the future clinical work. Methods:Selected 20 Patients to open thyroid resection group, 20,called the areola approach for ordinary cavity mirror thyroid resection cavity mirror grouP, 20,called the areola approach pin type endoscopic thyroid resection patients for pin type cavity mirror group. Record the perioperative body temperature change and the preopperative 1 day, postoperative 6 h, 24 h, 48 h measure patients serum and postoperative drainage fluid the WBC, IL-6, TNF-a, and the level of IL-l beta, the cytokines level differences between the two groups were compared. Results:1.Six hours after the two groups in wound drainage fluid and serum TNF concentration reaches a peak, 6 h after experimental drainage TNF in a liquid concentration is much higher than the control group, P0.05, 5 the difference w