摘要
目的探讨妇科疾病有手术指征的老年人进行腹腔镜手术的安全性及临床应用效果。方法对2006年8月～2007年9月在我院行妇科腹腔镜手术的年龄≥60岁的老年患者(43例)及年龄<60岁的非老年患者(40例)进行回顾性分析。结果老年患者合并症明显高于非老年患者,2者之间差异有统计学意义(P<0.05)。老年患者手术风险高于非老年患者。老年患者腹腔镜手术时间、出血量及发热天数与非老年患者对比差异无统计学意义(P>0.05),肛门排气时间及住院天数老年组长于非老年组(P<0.01),2组患者均在腹腔镜下顺利完成手术,无1例手术死亡及电损伤,无1例中转开腹。结论老年妇女加强对合并症及围术期的处理,行腹腔镜手术是安全可行的。
Objective To evaluate the feasibility and safety of the laparoscopy to the elderly with surgical indications. Methods Forty three cases aged more than 60 years old and 40 cases aged less than 60 years old who were treated by laparoscopy in our hospital from August 2006 to September 2007 were analyzed retrospectively. Results The complications of old patients before operations were significantly higher than the young patients with high risk to the operation. There were no significant difference between that two groups according to operating time, amounts of bleeding, and levering days （P 〉0.05）, but the bowel recovery time and length of stay were longer in the elderly groups （P 〈0.01）. There were no mortality and electric injury in both groups. All cases were successfully operated with laparoscopy and non of them changed to laparotomy during procedure. Conclusion The management of complications and preoperative conditions of elderly should be strengthened. Laparoscopy is a safe and effective alternative to the elderly.
出处
《新疆医科大学学报》
CAS
2010年第1期81-83,共3页
Journal of Xinjiang Medical University
关键词
妇科疾病
老年人
合并症
腹腔镜手术
gynecological disease
elderly
complications
laparoscopy
