Zielske F, Jalůvka V
Fortschr Med. 1978 Jun 1;96(21):1129-32.
During the last six years we have performed laparoscopy in 80 women older than 60 years of age. In 22 of these, the barium enema showed pathological colonic conditions (mostly diverticulosis or diverticulitis). Despite these findings laparoscopy was used as an additional and reliable diagnostic aid to exclude concomitant gynecological diseases. Of these 22 women, 16 had normal internal genital organs so that exploratory laparotomy could be avoided. In view of the high postoperative mortality in this age group this is regarded as a considerable advantage. In three women an additional gynecological disease requiring laparotomy was found. In two cases laparoscopic diagnosis was impossible because of extensive adhesions. In one patient the radiological diagnosis of diverticulitis was revised by laparoscopy which showed carcinoma of the sigmoid.
在过去六年中，我们为80名60岁以上的女性进行了腹腔镜检查。其中22名患者的钡灌肠显示结肠存在病理状况（主要是憩室病或憩室炎）。尽管有这些检查结果，腹腔镜检查仍被用作一种额外且可靠的诊断辅助手段，以排除并发的妇科疾病。在这22名女性中，16名患者的内生殖器器官正常，从而避免了剖腹探查术。鉴于该年龄组术后死亡率较高，这被视为一个相当大的优势。在三名女性中发现了需要进行剖腹手术的其他妇科疾病。在两例病例中，由于广泛粘连，无法进行腹腔镜诊断。在一名患者中，腹腔镜检查修正了憩室炎的放射学诊断，显示为乙状结肠癌。
