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目的探讨腹腔镜手术在60岁以上妇女良性疾病中的应用价值及安全性。方法回顾性分析60岁以上妇科良性疾病患者的临床资料,行腹腔镜手术治疗46例(腹腔镜组),经腹手术治疗45例(开腹组),比较两组患者术中、术后情况。结果与开腹组比较,腹腔镜组出血量少[(65.0±9.0)ml vs.(95.0±15.0)ml,(P<0.01)],术后肛门排气早、住院时间短(P<0.01),术后发热及并发症的发生率低。结论腹腔镜手术具有创伤小,患者术后恢复快、并发症少,适合60岁以上妇科良性疾病患者的治疗。
Objective To investigate the value and safety of laparoscopic surgery in benign diseases of women over 60 years old. Methods The clinical data of patients with gynecological benign diseases over the age of 60 were analyzed retrospectively. 46 cases underwent laparoscopic surgery (laparoscopic group) and 45 cases underwent abdominal surgery (open group). The intraoperative and postoperative conditions were compared between the two groups . Results Compared with the open group, laparoscopic group had less bleeding [(65.0 ± 9.0) ml vs. (95.0 ± 15.0) ml, P <0.01), shorter anus discharge and shorter hospital stay (P <0.01) ), Postoperative fever and the incidence of complications is low. Conclusion Laparoscopic surgery with less trauma, rapid recovery after surgery, fewer complications, suitable for the treatment of patients over the age of 60 with benign gynecological diseases.