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检测不同手术治疗方法后儿童黑素细胞痣术后血清中 CCL2/MCP-1 水平。

Determination of CCL2 / MCP-1 levels in the serum of children with melanocytic nevus in the postoperative period after using different methods of surgical treatment.

机构信息

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,";}.

出版信息

Acta Biomed. 2022 May 11;93(2):e2021464. doi: 10.23750/abm.v93i2.12226.

DOI:10.23750/abm.v93i2.12226
PMID:35546011
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9171853/
Abstract

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.

摘要

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。

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1
Determination of CCL2 / MCP-1 levels in the serum of children with melanocytic nevus in the postoperative period after using different methods of surgical treatment.检测不同手术治疗方法后儿童黑素细胞痣术后血清中 CCL2/MCP-1 水平。
Acta Biomed. 2022 May 11;93(2):e2021464. doi: 10.23750/abm.v93i2.12226.
2
[Comment on the contribution by H. Breuninger, C. Garbe and G. Rassner: Shave excision of melanocytic nevi of the skin--indications, technique, results].[关于H. 布罗伊宁格、C. 加贝和G. 拉斯纳的贡献的评论:皮肤黑素细胞痣的刮除切除术——适应证、技术、结果]
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