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评估包虫病手术术前及术后病程中的微量元素。

Evaluating the trace elements in preoperative and postoperative duration of hydatid surgery.

作者信息

Sakman Gurhan, Parsak Cem K, Koltas Ismail S, Seydaoglu Gulsah, Sonmez Husnu, Hanta Ismail

机构信息

Department of General Surgery, Medical Faculty, Cukurova University School of Medicine, 01330 Balcali, Adana, Turkey.

出版信息

Saudi Med J. 2008 Jan;29(1):69-74.

Abstract

OBJECTIVE

To evaluate the preoperative and postoperative values of serum levels of zinc, magnesium, and copper in patients with cystic echinococcosis (CE).

METHODS

This study was conducted on patients with CE between 2000-2005 at the Faculty of Medicine, University of Cukurova, Adana, Turkey. Serum levels of zinc, copper, and magnesium of 85 patients with CE were measured both before and one year after the operation. Patients with liver CE (85 patients, 48 males) and healthy adults (40 adults, 17 males) as the control group were enrolled in the study.

RESULTS

When compared with the control group, the mean serum levels of zinc and magnesium were lower and the mean serum level of copper was higher in the preoperative period. It was found that as duration of symptoms increased, serum zinc and magnesium levels decreased and copper levels increased. The serum levels of these elements in postoperative and control patients after one year compared equally with the levels in the initial control.

CONCLUSION

The probability of increased consumption of zinc and magnesium and secretion of copper by the parasite may lead to evaluating the follow up of hydatid surgery in addition to radiological and serological methods.

摘要

目的

评估囊性棘球蚴病(CE)患者术前和术后血清锌、镁和铜水平的变化。

方法

本研究于2000年至2005年在土耳其阿达纳库库罗瓦大学医学院对CE患者进行。对85例CE患者在手术前和术后一年测量血清锌、铜和镁水平。纳入肝CE患者(85例,男性48例)和作为对照组的健康成年人(40例成年人,男性17例)进行研究。

结果

与对照组相比,术前血清锌和镁的平均水平较低,血清铜的平均水平较高。发现随着症状持续时间增加,血清锌和镁水平降低,铜水平升高。术后一年患者和对照患者的这些元素血清水平与初始对照组水平相当。

结论

寄生虫增加锌和镁消耗以及铜分泌的可能性,可能导致除了放射学和血清学方法外,还需对包虫手术的随访进行评估。

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