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目的探讨腹腔镜手术在65岁以上老年妇女中应用价值和安全性。方法 2005-01-2009-12在洛阳市瀍河区妇幼保健中心行妇科腹腔镜手术的年龄65岁的老年患者86例及年龄<65岁的非老年患者80例,比较两组患者术前、术中、术后情况。结果老年患者腹腔镜手术时间、出血量及发热天数与非老年患者对比差异无统计学意义(P>0.05)。肛门排气时间及住院天数老年组长于非老年组(P<0.01)。结论老年妇女加强对并发症及围术期的处理,行腹腔镜手术是安全可行的。
Objective To investigate the value and safety of laparoscopic surgery in elderly women over 65 years old. Methods From January 2005 to December 2009, 86 cases of elderly patients aged 65 years and 80 cases of non-elderly patients aged <65 years were enrolled in the Gynecological Laparoscopic Surgery at Qihe District Maternal and Child Health Care Center of Luoyang City. Comparisons were made between preoperative, Intraoperative and postoperative conditions. Results There was no significant difference in laparoscopic operation time, blood loss and days of fever between elderly patients and non-elderly patients (P> 0.05). Anal discharge time and length of stay in the elderly elderly non-elderly group (P <0.01). Conclusion elderly women to strengthen the complications and perioperative management, laparoscopic surgery is safe and feasible.