[1]付凤仙①,段华**,汪沙,等.宫腹腔镜手术治疗80岁以上老年患者妇科疾病的安全性分析[J].中国微创外科杂志,2017,17(07):623-626.
 Fu Fengxian,Duan Hua*,Wang Sha*,et al.Safety Analysis of Hysteroscopy and Laparoscopy Surgery in Patients Over 80 Years Old with Gynecological Diseases[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):623-626.
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宫腹腔镜手术治疗80岁以上老年患者妇科疾病的安全性分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
623-626
栏目:
临床研究
出版日期:
2017-07-20

文章信息/Info

Title:
Safety Analysis of Hysteroscopy and Laparoscopy Surgery in Patients Over 80 Years Old with Gynecological Diseases
作者:
付凤仙①段华**汪沙汤一群甘露徐倩
首都医科大学附属北京妇产医院妇科微创中心,北京100006
Author(s):
Fu Fengxian Duan Hua* Wang Sha* et al.
*Center of Minimally Invasive Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China
关键词:
老年患者宫腹腔镜手术妇科疾病
Keywords:
Elderly patientsHysteroscopy and laparoscopy surgeryGynecological diseases
文献标志码:
A
摘要:
目的探讨80岁以上老年患者妇科疾病行宫腹腔镜手术的安全性。方法对我院妇科微创中心2013年1月~2017年1月宫腹腔镜手术治疗12例年龄≥80岁老年患者妇科疾病进行回顾性分析。结果7例宫腔镜手术时间(30.0±10.7)min,3例腹腔镜手术时间分别为30、45、65 min,1例宫腹腔镜联合手术时间为55 min,1例宫腔镜手术时间为30 min,再次腹腔镜手术时间为70 min。7例宫腔镜手术出血量为(20.0±10.7)ml,3例腹腔镜手术出血量分别为30、35、50 ml,1例宫腹腔镜联合手术出血量60 ml,1例宫腔镜手术出血量10 ml,再次腹腔镜手术出血量100 ml。7例宫腔镜手术病理:2例萎缩性子宫内膜,3例子宫内膜息肉,1例宫颈息肉,1例子宫内膜息肉和宫颈息肉;3例腹腔镜手术病理均为良性浆液性囊腺瘤;1例宫腹腔镜联合手术为萎缩性子宫内膜及良性浆液性囊腺瘤;1例为子宫内膜样腺癌(高分化)。术后无前列腺电刀综合征、子宫穿孔、大出血、感染及静脉血栓性疾病等并发症。12例随访(19.8±10.7)月,未见异常。结论在充分评估患者手术风险的基础上,宫腹腔镜手术对于诊治80岁以上老年患者妇科疾病具有创伤小、恢复快等优点,疗效肯定,安全可行。
Abstract:
ObjectiveTo analyze the safety of hysteroscopy and laparoscopy surgery for patients over 80 years old with gynecological diseases.Methods This investigation presented a retrospective study of 12 patients over 80 years old receiving hysteroscopy and laparoscopy surgery from January 2013 to January 2017.ResultsThe operative time of 7 cases of hysteroscopic surgery was (30.0±10.7) min. The operative time of laparoscopic surgery was 30, 45, and 65 min, respectively. The operative time of 1 case of laparoscopy combined with hysteroscopy surgery was 55 min. The operative time of 1 case of hysteroscopic surgery was 30 min, and the secondary laparoscopic surgery was 70 min. The hemorrhage volume of 7 cases of hysteroscopic surgery was (20.0±107) ml. The hemorrhage volume of laparoscopic surgery was 50, 30, and 35 ml, respectively. The hemorrhage volume of 1 case of laparoscopy combined with hysteroscopy surgery was 60 ml. The hemorrhage volume of 1 case of hysteroscopic surgery was 10 ml, and the secondary laparoscopic surgery was 100 ml. The pathological diagnosis of 7 cases of hysteroscopic surgery showed 2 cases of atrophic endometrium, 3 cases of endometrial polyps, 1 case of cervical polyps, and 1 case of endometrial polyps associated with cervical polyps. The pathological diagnosis of 3 cases of laparoscopic surgery was benign serous cystadenoma. There was 1 case of atrophic endometrium and benign serous cystadenoma after laparoscopy combined with hysteroscopy surgery, and 1 case of endometrial adenocarcinoma (high differentiation). There were no complications such as transurethral resection of the prostate syndrome, perforation of uterus, bleeding, infection or venous thrombosis. Twelve patients were followed up for (19.8±10.7) months, and no abnormality was observed.ConclusionHysteroscopy and laparoscopy surgery for the diagnosis and treatment of gynecological diseases in elderly women over 80 years old has small trauma, quick recovery and good curative effect, being safe and feasible.

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备注/Memo

备注/Memo:
基金项目:国家科技支撑计划(2014BAI05B03);首都卫生发展科研专项(2014-1-2112);北京市医院管理局临床医学发展专项(ZYLX201406)**通讯作者,E-mail:duanhuasci@163.com①(北京大学航天临床医学院航天中心医院妇产科,北京100049)
更新日期/Last Update: 2017-09-21