摘要
目的:研究腔镜下甲亢腺叶切除术对血浆甲状腺素的影响。方法:9例全麻下行腔镜下原发性甲亢腺叶切除术,分别于术前,术中不同时间及术后1周采血,用放射免疫法测定血浆甲状腺素(TT3,TT4,TSH)。结果:9例术前TT3,TT4均高于正常值。腔镜手术开始后,TT3,TT4,TSH显著升高(P<0.05),但全麻下患者MAP,HR显著低于术前(P<0.05),并保持平稳。结论:较深的全身麻醉降低代谢水平,可保障甲亢患者腔镜手术时的安全。
Objective：To study the effect of laparoscopy of removal of the thyroid gland on plasma thyroxine concentrarion. Methods ：9 patients underwent general anesthesia and laparoscopy of removal of the thyroid gland were analysized. Blood samples were drawn before operation,given time intervals during operation and 1 week after the operation to determine the concentration of plasma TT3 ,TT4 ,TSH. Results：In all patients, the levels of TT3,TT4 rank were above normal value before operation, the levels of Tr3, Tr4, TSH increased significantly after operation （ P 〈 0.05 ）. But with general anesthesia, the MAP, HR significantly decreased （ P 〈 0.05 ） and remained stable. Conclusions： The general anesthesia can debase metabolism, which assures the safety during laparoscopy of removal of removal of the thyroid gland.
出处
《腹腔镜外科杂志》
2006年第1期20-21,共2页
Journal of Laparoscopic Surgery
