腹腔镜手术治疗老年良性妇科疾病的价值  

Values of Laparoscopic Surgery for Benign Gynecological Diseases in Senile Women

作　　者：张青[1] 施永鹏[1] 

机构地区：[1]上海市嘉定区妇幼保健院妇科内镜中心,上海201800

出　　处：《中国微创外科杂志》2007年第9期903-904,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜手术在老年妇科良性疾病中的应用价值及安全性。方法比较2001年1月～2006年12月27例腹腔镜手术（腹腔镜组）与25例开腹手术（开腹组）的临床资料。结果腹腔镜组手术时间（20．0±7．9）min明显短于开腹组（44．0±7．2）min（t=-11．419，P：0．000）；腹腔镜组术中出血量（21．9±20．0）m1明显少于开腹组（62．6ml±29．4）（t=-5．875，P：0．000）；腹腔镜组术后病率3例明显少于开腹组12例（，：8．606，P：0．001）；腹腔镜组术后排气时间（13．9±2．9）h明显短于开腹组（23．4±4．3）h（t=-9．404，P=0．000）；腹腔镜组住院时间（7．6±0．9）d明显少于开腹组（10．2±1．2）d（t=-8．882，P=0．000）。结论重视老年患者术前合并症的治疗，术中术后加强监护，腹腔镜是老年妇科疾病手术治疗理想的术式。Objective To study safety and values of laparoscopic surgery in the management of gynecological diseases in senile women. Methods Clinical data between 27 cases of laparoscope surgery （ Laparoscopic Group） and 25 cases of open surgery （Open Group ） from January 2001 to December 2006 were retrospectively compared. Results The operation time in the Laparoscopic Group （20.0 ± 7.9） min was significantly shorter than that in the Open Group （ 44.0 ± 7.2） min （ t = - 11. 419, P = 0.000） ; the blood loss in the Laparoscopic Group （21.9 ± 20.0）ml was distinctively less than that in the Open Group（62.6 ± 29.4） ml（t = -5. 875 ,P = 0. 000）; the postoperative pyrexia in the Laparoscopic Group （3 cases） was significantly less than that in the Open Group （12 cases） （X^2 = 8. 606,P =0. 001 ） ; the time to first flatus in the Laparoscope Group（ 13.9 ± 2.9）h was significantly shorter than that in the Open Group （23.4 ± 4.3 ） h （ t = - 9. 404,P = 0. 000） ; hospital stay in the Laparoscope Group （7.6 ±0.9） d was significantly shorter than that in the Open Group （ 10.2 ± 1.2） d （ t = - 8. 882, P = 0. 000）. Conclusions On the basis of intensive treatment of preoperative complications and perioperative monitoring, laparoscopic surgery is an ideal procedure for benign gynecological diseases in senile women.

关 键 词：老年妇女 腹腔镜手术 卵巢肿瘤 

分 类 号：R713[医药卫生—妇产科学] R737.31[医药卫生—临床医学]