Department of children surgery, National Pirogov Memorial Medical University, Pirogov, 56, Vinnytsia, Ukraine,.
a:1:{s:5:"en_US";s:106:"Department of Microbiology, National Pirogov Memorial Medical University, Pirogov, 56, Vinnytsia, Ukraine,";}.
Acta Biomed. 2022 May 11;93(2):e2021464. doi: 10.23750/abm.v93i2.12226.
To date, there are many methods and ways to remove pigmented skin tumors, which have their own indications and contraindications for use, early or late complications.The aim of the study was to determine the level of CCL2 / MCP-1 in the serum of patients with melanocyte skin nevi in the postoperative period with different methods of their removal.Materials and methods of research. The study involved 60 children with melanocyte skin nevi of different localization, who were hospitalized in the pediatric surgery clinic in the period from 2018 to 2020. All patients were divided into 3 groups : I group - the excision of the formation took place with a scalpel, group II - excision of the formation was performed using a high-intensity surgical laser, group III - excision of the formation using a high-frequency electrosurgical device "BOWA-ARC 350.Results and discussion. The results of studies showed an increase in the level of CCL2 / MCP-1 in the plasma of patients of group I in 2,6 times 12 hours after surgery and 3,15 times in 24 hours after surgery. A similar dynamics of increase in the level of CCL2 / MCP-1 in plasma was observed in patients of group II, but was more pronounced. The largest increase in CCL2 / MCP-1 levels was in comparison group III.Conclusions. High levels of CCL2 / MCP-1 in the plasma of patients of groups II and III 12 and 24 hours after surgery convincingly indicate the presence of a pronounced inflammatory reaction under the influence of thermal damaging factor on skin tissues.
迄今为止,有许多方法和途径可以去除色素性皮肤肿瘤,这些方法各有其适应证和禁忌证,也会产生早晚期并发症。本研究旨在确定不同去除方法黑素细胞皮肤痣患者术后血清中 CCL2/MCP-1 的水平。
材料与研究方法。本研究纳入了 2018 年至 2020 年期间在小儿外科诊所住院的 60 名不同部位黑素细胞皮肤痣的儿童患者。所有患者均分为 3 组:I 组——采用手术刀切除形成物,II 组——采用高强度手术激光切除形成物,III 组——采用高频电外科设备“BOWA-ARC 350”切除形成物。
结果与讨论。研究结果表明,手术 12 小时后,I 组患者血浆中 CCL2/MCP-1 水平增加 2.6 倍,24 小时后增加 3.15 倍。II 组患者血浆中 CCL2/MCP-1 水平也出现类似的增加动态,但更为明显。与其他两组相比,III 组患者的 CCL2/MCP-1 水平增加最大。
结论。II 组和 III 组患者术后 12 小时和 24 小时血浆中 CCL2/MCP-1 水平升高,这有力地表明,在皮肤组织受到热损伤因素影响下,存在明显的炎症反应。