后腹腔镜co 2气腹手术时机体神经内分泌的改变after laparoscopic co 2 shifts of neuroendocrine gasless laparoscopic surgery.pdfVIP

安徽医科大学硕士学位论文 较无显著性，术中甲状腺激素、胰岛激素未见明显变化，提示 CO2 气腹后腹腔 镜手术虽存在应激反应但强度有限，体现了“微创”但非“无创”的观点。 关键词 后腹腔镜；神经内分泌激素；应激；外科学 6 安徽医科大学硕士学位论文 Abstract The neuroendocrine hormone changes in retroperitoneal laparoscopic operation Objective: To investigate changes of neuroendocrine hormone in retroperitoneal of laparoscopic patients,Research in this area is now mainly concentrated in the open and laparoscopic surgery in a larger time period before and after the test compared to the previous value of, And controversial, For a smaller perioperative period of time trend study of hormone less perioperative period in this experiment on a small period of time to implement detection of hormonal changes, hormonal changes in a more detailed understanding of trends, provide the basis for clinical data. Methods: 23 cases were observed during retroperitoneallaparoscopicoperation, aged 23 to 69 years old, 13 males and 10 females. All cases, no severe preoperative liver and kidney dysfunction, without diabetes, angina, myocardial infarction history, no high blood pressure, thyroid disease, blood disease and other metabolic disorders. Preoperative not used drugs such as glucocorticoid hormones for more than two weeks, in which renal cysts in 15 cases, ureteral stones in 6 cases, 1 case of adrenal cyst, chyluria in 1 case. All patients were B-, CT and other tests confirmed that the surgery carried out under general anesthesia, operative time were around 1h, post-operative pathology. Respectively, of pre-pneumoperitoneum 10min (Ta), pneumoperitoneum after 30min (Tb), pneumoperitoneum pneumoperitoneum after 60min or coming to an end (Tc), after the demolition of gas 30min (Td), and 60min time (Te)elbow venous blood collected, centrifuged Machine separation of serum, -80 ℃