摘要
目的研究老年患者妇科腹腔镜手术的临床特点,评价腹腔镜手术在老年患者妇科疾病中应用的安全性及价值。方法1997年1月～2004年10月该院70例60岁以上老年妇科疾病患者行腹腔镜手术治疗,对临床资料进行回顾性分析。结果该组78.57%(55/70)患者合并有不同程度的心血管疾病、糖尿病及肺脏疾病,手术指征包括盆腔、子宫、卵巢和输卵管等各种良性疾患以及早期恶性肿瘤。95.71%(67/70)镜下手术成功。并发症发生率7.46%(5/67),全组病例无电损伤及手术死亡。结论做好围手术期处理,腹腔镜手术可安全地应用于多种老年妇科疾病的治疗,并可在不断提高腹腔镜技术水平的基础上逐步扩大手术适应证。
[Objective] To investigate the clinical characteristics of laparoscopy on elderly patients with gynecopathia. [Methods] Between 1997 and 2004, 70 patients（all over 60 years old） with gynecopathia underwent laparoscopy in our department. All the data were analysized retrospectively. [Results] Of the 70 patients, 55 women （78.57%） also suffered from diabetes , cardiovascular diseases and/or bronchitis. Innocence disease of pelvic cavity and gynecological malignant tumor in earlier period were included in the group. After the operation, 67 patients （95.71%） recovered successfully, and only 5 cases（7.46%） had operation-related complications. No electrical injury or death cases reported. [Conclusions] With good perioperation treatment, laparoscopy is an optimal treatment for elderly patients with gynecopathia. We can also enlarge the operative indication by sprinting to advanced laparoscopic techniques.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第8期807-809,共3页
China Journal of Endoscopy
