多学科诊疗模式下高危老年患者接受宫腔镜电切手术的安全性  

Safety of Hysteroscopic Resection Surgery for High-Risk Elderly Patients Under Multidisciplinary Diagnosis and Treatment Mode

作　　者：方莹[1] 赵虎[1] 王武亮[1] FANG Ying;ZHAO Hu;WANG Wuliang(Department of Gynecology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院妇产科,河南郑州450014

出　　处：《河南医学研究》2023年第8期1407-1410,共4页Henan Medical Research

摘　　要：目的探讨多学科诊疗模式(MDT)下多发合并症高危老年患者接受宫腔镜电切手术的安全性。方法回顾性分析2018年1月至2022年5月就诊于郑州大学第二附属医院接受宫腔镜电切手术的68例老年女性患者的病例资料。将接受MDT会诊的患者纳入观察组,未接受MDT会诊的患者纳入对照组。68例患者均合并两种或两种以上的内科疾病。比较两组患者手术时间、术后苏醒时间、术后并发症发生率及满意度。结果两组手术时间比较,差异无统计学意义(P>0.05),观察组术后苏醒时间短于对照组,术后并发症发生率低于对照组,患者满意度高于对照组(P<0.05)。结论术前常规MDT评估患者围手术期风险,可提高宫腔镜电切手术的安全性和满意度。Objective To explore the safety of hysteroscopic surgery in elderly patients with multiple complications and high risk in multidisciplinary diagnosis and treatment(MDT)mode.Methods Retrospective analyse the case data of 68 elderly female patients who underwent hysteroscopic resection surgery at the Second Affiliated Hospital of Zhengzhou University from January 2018 to May 2022.Patients who received MDT consultation were included in the observation group,while patients who did not receive MDT consultation were included in the control group.All patients had two or more internal medical diseases.The surgical time,postoperative recovery time,incidence of postoperative complications,and satisfaction between the two groups of patients were compared.Results The difference in surgical time between the two groups was not statistically significant(P>0.05).The observation group had shorter postoperative recovery time,lower incidence of postoperative complications,and higher patient satisfaction than the control group(P<0.05).Conclusion Routine preoperative MDT assessment of perioperative risks in patients can improve the safety and satisfaction of hysteroscopic resection surgery.

关 键 词：多学科诊疗 老年患者 宫腔镜电切手术 宫腔疾病 

分 类 号：R71[医药卫生—妇产科学]