甲襞微循环监测在嗜铬细胞瘤术前准备中的应用

目的:探讨甲襞微循环监测在嗜铬细胞瘤术前药物准备中的临床意义。方法:采取前瞻性自身对照研究,对20例嗜铬细胞瘤患者术前用竹林胺药物准备前、后,以及术后2~3个月,通过WXT-4型微循环图象计算机分析系统监测甲襞微循环,在微循环形态、血管流态、血管周围的情况三方面共22项指标进行定量分析与t检验。结果:20例患者经药物准备前后,在血管襻清晰度、管襻数、输入支管径、输出支管径、管襻长度、红细胞聚集程度、血色、形态积分、流态积分、总积分这10项微循环指标的统计学检验显示差异均有统计学意义(P<0.05或P>0.01);而手术前后微循环各项指标间差异无统计学意义。结论:甲襞微循环可以较好地反映全身微循环的状况,甲襞微循环监测可作为嗜铬细胞瘤术前准备的一项重要指标应用于临床。

Application of microcirculation inspection and management during preoperative preparation of pheochromocytoma

Objective:To discuss the role of microcirculation inspection and management during preoperative preparation of pheochromocytoma.Methods:Twenty patients with pheochromocytoma were evaluated using WXT-4 nailfola microcirculation image computer analysis system before drug preparations,pre and post-operatively.Twenty two aspects were evaluated respectively using t-test analysis.Results:Ten of 22 aspects indicated significant differences between pre or post-preparation period,while there were no significent differences between pre and post operative results.Conclusions:Nailfola microcirculation is an important method providing useful and imperative clinical information during surgical preparations of pheochromocytoma.