Erdoğan M, Ilhan Y S, Akkuş M A, Caboğlu S A, Ozercan I, Ilhan N, Yaman M
Department of General Surgery, Faculty of Medicine, Firat University, Elaziğ, Turkey.
Acta Chir Belg. 1999 Apr;99(2):72-7.
Unfavourable effects of hypothyroidism and zinc deficiency on wound healing are well known. This experimental study was conducted on rats to evaluate the effects of hormone replacement and zinc supplement on wound healing. A total of 50 rats were divided into 5 groups of 10 rats as follows: Control group (A), a hypothyroidism group (B), a L-thyroxine receiving hypothyroidism group (C), a zinc receiving hypothyroidism group (D), and a L-thyroxine plus zinc receiving hypothyroidism group (E). In order to develop hypothyroidism, 5-propyl 2-thiouracil had been given intraperitoneally for a period of 21 days to all groups except the control group. A laparotomy with a 4 cm median incision was performed in all rats. The first half of the rats was sacrificed on the 7th day and the remaining on the 14th day. Breaking strength, hydroxyproline concentrations in the healing scar tissue and blood serum zinc levels were measured. Although both values--breaking strength and hydroxyproline levels--, compared to all others, were found to be higher in the L-thyroxine plus zinc receiving group (group E) on the 7th day, differences among the groups were not statistically significant. However, on the 14th day, these differences were found to be significant. We conclude that the hormone replacement therapy in hypothyroidism cases was beneficial with regard to wound healing and the results were more satisfactory if zinc was added to the therapy.
甲状腺功能减退和锌缺乏对伤口愈合的不利影响是众所周知的。本实验研究以大鼠为对象,评估激素替代和补锌对伤口愈合的影响。总共50只大鼠被分为5组,每组10只,分组如下:对照组(A)、甲状腺功能减退组(B)、接受左甲状腺素的甲状腺功能减退组(C)、接受锌的甲状腺功能减退组(D)以及接受左甲状腺素加锌的甲状腺功能减退组(E)。为了诱发甲状腺功能减退,除对照组外,给所有组大鼠腹腔注射5-丙基-2-硫脲,持续21天。所有大鼠均进行了一个4厘米正中切口的剖腹手术。前半部分大鼠在第7天处死,其余的在第14天处死。测量了愈合瘢痕组织的抗张强度、羟脯氨酸浓度以及血清锌水平。虽然在第7天,与所有其他组相比,接受左甲状腺素加锌的组(E组)的抗张强度和羟脯氨酸水平这两个值均较高,但组间差异无统计学意义。然而,在第14天,发现这些差异具有统计学意义。我们得出结论,甲状腺功能减退病例中的激素替代疗法对伤口愈合有益,并且如果在治疗中添加锌,结果会更令人满意。