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目的探讨腹腔镜手术治疗老年妇科疾病的临床安全性及其价值。方法回顾性分析2009年1月至2012年12月60岁以上83例老年妇女的临床资料,其中38例行腹腔镜手术(腹腔镜组),45例行开腹手术(开腹组)。结果腹腔镜组手术时间、术中出血量、术后排气时间、住院时间均明显少于开腹组;腹腔镜组术后镇痛率低于开腹组,差异均有统计学意义(P<0.05)。结论重视老年患者围术期的处理,做好术前评估,术中术后加强监护,腹腔镜是手术治疗老年妇科疾病理想的术式。
Objective To investigate the clinical safety and its value of laparoscopic surgery in the treatment of elderly gynecological diseases. Methods The clinical data of 83 elderly women over the age of 60 from January 2009 to December 2012 were retrospectively analyzed. Among them, 38 patients underwent laparoscopic surgery (laparoscopic group) and 45 underwent laparotomy (open group). Results Laparoscopic operation time, intraoperative blood loss, postoperative exhaust time, hospitalization time were significantly less than the open group; laparoscopic group postoperative analgesic rate was lower than the open group, the difference was statistically significant (P <0.05). Conclusion Paying attention to the treatment of perioperative patients in elderly patients, making preoperative evaluation, strengthening postoperative care, and laparoscopy are the ideal surgical procedures for the treatment of elderly gynecological diseases.