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目的探讨腹腔镜在70岁以上老年妇女附件良性疾病手术中的应用价值及安全性。方法回顾分析河北医科大学第二医院近4年收治的70岁以上因附件良性疾病手术治疗的31例患者资料,根据患者手术方式分为2组,腹腔镜组12例,经腹手术组19例。比较2组患者术中、术后的情况。结果除术后排气时间2组差异无统计学意义外,手术时间、抗生素使用时间和术后住院时间腹腔镜组均短于经腹手术组(P<0.05);术中出血量也少于经腹手术组(P<0.05)。结论对于附件良性疾病,腹腔镜的微创性、术后恢复快及并发症少可能更适合老年妇女。
Objective To explore the value and safety of laparoscopy in the surgical treatment of benign diseases of the elderly with over 70 years of age. Methods A retrospective analysis of the Second Hospital of Hebei Medical University in the past 4 years admitted to more than 70 years of age due to attachment of benign disease surgical treatment of 31 patients, according to the surgical approach is divided into two groups, laparoscopic group of 12 cases, 19 cases of abdominal surgery group . The patients in two groups were compared intraoperatively and postoperatively. Results In addition to the difference in postoperative exhaust time between the two groups was not statistically significant, the operation time, antibiotic use time and postoperative hospital stay laparoscopic group were shorter than the abdominal surgery group (P <0.05); less bleeding during surgery Abdominal surgery group (P <0.05). Conclusions For the attachment of benign diseases, laparoscopic minimally invasive, rapid recovery and complications less likely to be more suitable for older women.