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目的观察70岁以上老年患者实施妇科手术的围手术情况,探讨围手术期处理的相关问题以及微创手术对老年妇女手术治疗的意义。方法回顾性分析2009年8月至2010年12月年龄>70岁老年患者的围手术期情况,结合患者康复情况,以术中出血量、平均住院天数和并发症发生率等探讨术前手术方式评估的必要性。结果纳入分析的283例患者中,术后发生一种并发症的患者比率为20.1%,发生一种以上并发症的患者比率为9.2%;92例患者选择微创手术,微创手术患者出血量、平均住院天数和并发症发生率均低于腹腔手术者,差异具有统计学意义(P<0.01)。所有患者均完成既定手术,经过治疗均痊愈出院。结论老年患者的脏器储备功能是影响围手术期风险的主要因素,在严格控制手术指征,积极治疗并发症的前提下,手术治疗对老年患者是安全的,微创手术在老年妇女中的开展有利于减少手术并发症。
Objective To observe the perioperative situation of gynecological surgery in elderly patients over 70 years old and to explore the related issues of perioperative management and the significance of minimally invasive surgery in elderly women. Methods The perioperative status of elderly patients aged> 70 years from August 2009 to December 2010 was retrospectively analyzed. The preoperative surgical methods were explored in combination with the patients’ recovery, the amount of intraoperative blood loss, the average hospitalization days and the incidence of complications. Necessity of assessment. Results Of the 283 patients enrolled in the analysis, 20.1% had a complication after surgery and 9.2% had more than one complication. 92 patients underwent minimally invasive surgery and minimally invasive surgery , Average days of hospitalization and complications were lower than those of abdominal surgery, the difference was statistically significant (P <0.01). All patients completed the scheduled surgery, after treatment were cured and discharged. Conclusion The function of organ reserve in elderly patients is the main factor influencing the perioperative risk. Surgical treatment is safe for elderly patients under the strict control of surgical indications and active treatment of complications. The minimally invasive surgery in elderly women To carry out to help reduce surgical complications.