关键词: 感染, 降钙素原, 食管癌微创手术, 动态检测

Abstract: 【Abstract】〓Objective〓To evaluate the value of dynamic detection of procalcitonin (PCT) in early diagnosis of infection after minimally invasive esophagectomy. Methods〓Sixty-eight patients as a observation group who underwent minimally invasive esophagectomy in department of cerebral surgery of Sun Yat-sen Memorial Hospital between June 2015 to June 2016 and 30 cases of normal physical examination as healthy group over the same period were enrolled in this retrospective study. PCT in blood of the patients undergoing surgery were detected on the first, second, third and fifth day after the surgery. Infection occurred in 10 patients out of the group, which were divided into an observation group and the others were divided into a control group. Differences of PCT among the three groups were statistically analyzed using SPSS 12.0 software package. Results〓On the first day after operation, PCT in the observation group and control group was higher than the healthy group,.which showed statistical difference(P<0.05),.but it has no statistical difference between observation group and control group..On the second day,.the PCT of the observation group was higher than control group, which showed statistical difference(P<0.05)..And on the third and the fifth day,.the PCT of the observation group was higher significantly than control group, which showed statistical difference (P<0.01)..Between the control group and healthy group,.there was statistical difference on the first and second day after operation(P<0.05), but it has no statistical difference on the third and fifth day after operation..Conclusion〓A dynamic detection of PCT is value to the early diagnosis of infection after minimally invasive esophagectomy..When PCT is more than 2.06 μg/ml on the second day after operation, the patient may be infected by bacteria. We should start the contrapuntal treatment as early as possible.

Key words: Infection, Dynamic detection, Minimally invasive esophagectomy, Procalcitonin