摘要
目的探讨老年肥胖者妇科疾病腹腔镜手术的临床应用效果。方法分析2004年2月-2009年4月有手术指征和手术意愿的老年肥胖妇女患者103例,腹腔镜手术组57例,开腹手术组46例。结果腹腔镜组术中出血量少、进食早、排气快、住院时间短,与开腹组比较差异有显著性(P<0.001),术后并发症开腹组明显高于腹腔镜组(P<0.05)。结论腹腔镜手术对老年肥胖妇科患者是一种安全、有效的手术方式,能体现出微创的优势,值得推广。
Objective To investigate the clinical effect of gynecologic laparoscopic surgery in elderly obese patients. Methods Analysis was done on 103 elderly obese women with surgery indications and informed consents from Feb. 2004 to Apr. 2009,among which 57 underwent laparoscopy,and 46 laparotomy. Results In laparoscopy group,there were less bleeding,earlier food-taking,more rapid recovery of bowel function and shorter length of stay,compared with laparotomy group （P0.001）. Patients in laparotomy group had more complications than those in laparoscopy group （P0.05）. Conclusion：For elderly obesity patients,gynecologic laparoscopy is safe,effective,minimally invasive and worthy to be popularized.
出处
《中国病案》
2010年第8期15-17,共3页
Chinese Medical Record
关键词
老年妇女
肥胖症
腹腔镜妇科手术
Elderly women
Obesity
Gynecologic laparoscopic surgery
