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经阴道混合NOTES肾切除术对患者炎性反应的影响 被引量：5

The inflammatory reaction in patients with transvaginal hybrid natural orifice transluminal endoscopic surgery
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摘要 目的通过与普通腹腔镜肾切除术(LN)比较机体炎性因子,评估经阴道混合NOTES肾切除术(THNN)对机体炎性反应的影响。方法选择20例THNN(N组)患者和20例LN(L组)患者进行研究,两组全麻诱导、麻醉维持相同,术中麻醉深度用脑电双频指数(BIS)维持在50左右,分别在麻醉诱导前(T0)、气腹开始后2h(T1)、术后第1天(T2)、术后第2天(T3)、术后第3天(T4)早6:00抽取静脉血检测白细胞介素-6(IL-6)、IL-10、肿瘤坏死因子受体(TNF-R)、C-反应蛋白(CRP)含量。结果两组IL-6、IL-10值T1、T2、T3均比T0高(P<0.05),在T1时间点,N组比L组高(P<0.05),其余时间点组间比较差异无统计学意义;两组TNF-R、CRP值T2、T3、T4均比T0高(P<0.05),但组间比较差异无统计学意义。结论 THNN患者术中炎性反应较LN患者高,术后两类患者炎性反应相似。
作者 陈丽 张国玺 周树宝 邹晓峰 彭道珍 叶军明 钟茂林 郭锐 王万辉
机构地区 赣南医学院第一附属医院麻醉科 赣南医学院第一附属医院泌尿外科
出处 《广东医学》 CAS CSCD 北大核心 2011年第18期2405-2406,共2页 Guangdong Medical Journal
基金 江西省卫生厅科技计划项目(编号:20111074)
关键词 经自然腔道内镜手术 腹腔镜 肾切除术 炎性反应
分类号 R699.2 [医药卫生—泌尿科学]
  • 相关文献

参考文献9

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共引文献144

同被引文献57

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引证文献5

二级引证文献18

广东医学
2011年 第18期

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