摘要
目的:探讨免气腹腹腔镜手术治疗老年患者妇科疾病的应用价值及安全性。方法:对比分析2008年2月至2009年2月52例免气腹腹腔镜手术(免气腹组)与54例气腹腹腔镜手术(气腹组)老年患者的临床资料,包括术中出血量、血流动力学及呼吸动力学指标、手术时间、术后肛门排气时间、卧床时间、住院时间及术后病率。结果:106例腹腔镜手术均获成功,无一例中转开腹。结果显示,免气腹组术中出血量、手术时间、术后肛门排气时间、卧床时间、住院时间及术后病率均优于气腹组(P<0.05)。免气腹组术中中心静脉压、胸肺顺应性、气道峰压、气道平台压的变化均小于气腹组(P<0.05)。结论:免气腹腹腔镜用于老年患者妇科手术具有安全性好、并发症少、术后康复快的优势,是值得推广应用的微创术式。
Objective：This study aimed to evaluate the application value and safety of gasless laparoscopic surgery in the management of gynecological diseases in aged patients.Methods：Clinical data of 52 cases of gasless laparoscopic surgery（gasless group） and 54 cases of pneumoperitoneum laparoscopic surgery（pneumoperitoneum group） from Feb.2008 to Feb.2009 were comparatively analyzed.The clinical indexes included operative blood loss,hemodynamics and pneumodynamics index,operative time,postoperative anal exhaust time,bed rest time,hospital stay and postoperative morbidity.Results：All operations were successful,and no one was converted to laparotomy.The operating duration,bleeding amount,postoperative intestinal recovery,postoperative bed time,hospital stay and postoperative pyrexia in gasless group were superior to those in pneumoperitoneum group（P0.05）.The changes of intraoperative central venous pressure,thoracic compliance,peak pressure and plat pressure in pneumoperitoneum group were more significant than those in gasless group（P0.05）.Conclusions：It is feasible and safe to use gasless laparoscopic surgery in gynecological diseases of aged patients.It offers several advantages over pneumoperitoneum laparoscopic surgery,such as less complications and quicker postoperative recovery,and is worthy of generalization.
出处
《腹腔镜外科杂志》
2010年第7期485-488,共4页
Journal of Laparoscopic Surgery
关键词
免气腹
妇科外科手术
腹腔镜检查
老年人
对比研究
Non-pneumoperitoneum
Gynecologic surgical procedures
Laparoscopy
Aged
Comparative study
