腹腔镜手术在70岁及以上老年女性妇科良性疾病中的价值

发布时间：2018-07-03 13:02

本文选题：老年 + 腹腔镜　；参考：《中国妇产科临床杂志》2017年06期

【摘要】：目的探讨70岁以上老年人因妇科良性疾病行全子宫及双侧附件切除术时选用腹腔镜手术方式的安全性。方法回顾性分析郑州大学第一附属医院2005年1月至2010年12月因妇科良性疾病行全子宫及双侧附件切除术(子宫及阴道脱垂者除外)的70岁及以上患者共170例,比较腹腔镜组(90例)及开腹组(80例)在术前、术中及术后的恢复情况。结果腹腔镜组患者的平均手术时间及术中出血量明显少于开腹组(P0.05);腹腔镜组患者术后肛门排气时间、术后恢复正常饮食时间、术后下床活动时间、术后抗生素使用时间及术后住院时间优于开腹手术组患者;腹腔镜组患者的住院总花费明显多于开腹组(P0.05)。结论腹腔镜手术对于70岁及以上老年妇科良性疾病的治疗具有独特优势,疗效肯定,且具有安全性高、创伤小、恢复快等优点。
[Abstract]:Objective to investigate the safety of laparoscopic surgery for gynecological benign diseases in elderly patients over 70 years old. Methods from January 2005 to December 2010, 170 patients aged 70 years or above who underwent total hysterectomy and bilateral appendage resection (except uterine and vaginal prolapse) for benign gynecological diseases in the first affiliated Hospital of Zhengzhou University were retrospectively analyzed. To compare the recovery of laparoscopic group (90 cases) and open group (80 cases) before, during and after operation. Results the mean operative time and blood loss during operation in the laparoscopic group were significantly less than those in the open group (P0.05), the time of anal exhaust, the time of recovery of normal diet, the time of getting out of bed and the time of movement after operation in the laparoscopic group were significantly lower than those in the group of laparoscopy (P0.05). Postoperative antibiotic use time and postoperative hospitalization time were better than open surgery group; the total cost of laparoscopy group was significantly longer than that of open group (P0.05). Conclusion Laparoscopic surgery has a unique advantage in the treatment of gynecologic benign diseases aged 70 years and above, and has the advantages of high safety, less trauma and quick recovery.
【作者单位】：郑州大学第一附属医院妇产科;
【基金】：河南省高校科技创新团队支持计划资助(17IRTSTHN021)
【分类号】：R713

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