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目的探索老年妇科恶性肿瘤患者围手术期的临床特点。方法回顾性分析2003年6月至2007年12月在我院接受住院手术治疗的三大妇科恶性肿瘤患者的临床资料,以老年妇科恶性肿瘤患者(年龄≥60岁)25例为研究组,同期中年妇科恶性肿瘤患者(40～59岁)135例为对照组,分析两组患者的围手术期特点,对结果进行统计学分析。结果老年组患者术前合并症明显高于对照组,但是两组患者手术范围、术后并发症发生率、术中出血量、需要输血率及术后住院日比较并无显著性差异。结论年龄不是老年妇科恶性肿瘤患者手术的禁忌,绝大部分老年妇科恶性肿瘤患者能够耐受手术治疗。
Objective To explore the clinical features of perioperative patients with elderly gynecologic malignancies. Methods The clinical data of three gynecological malignancies admitted to our hospital from June 2003 to December 2007 were analyzed retrospectively. Twenty-five patients with senile gynecologic malignant tumors (age≥60 years) 135 cases of middle-aged patients with gynecologic malignancy (40-59 years old) as the control group, analysis of the perioperative characteristics of the two groups of patients, the results were statistically analyzed. Results The preoperative complications in the elderly group were significantly higher than those in the control group. However, there was no significant difference in the surgical range, the incidence of postoperative complications, the intraoperative blood loss, the need for blood transfusion, and the postoperative hospital stay in both groups. Conclusion Age is not a taboo in elderly patients with gynecologic malignancies. The vast majority of elderly patients with gynecological malignancies are able to tolerate surgery.