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[75岁以上女性的妇科外科手术干预]

[Surgical gynecologic interventions in females over 75 years of age].

作者信息

Sevelda P, Vavra N, Kucera H, Grünberger W

出版信息

Geburtshilfe Frauenheilkd. 1986 Aug;46(8):520-3. doi: 10.1055/s-2008-1036248.

Abstract

In a retrospective analysis of 181 gynaecological operations performed in women older than 75 years the authors examined whether surgery had been meaningful and useful. Malignancy was established histologically in 50.3% of the cases, whereas in 49.7% benign diseases had led to an operation. Postoperative morbidity was 7.73% and depended on the magnitude of the procedure as well as on the diagnosed status of the histological findings. The mortality was 0.55%. Because of this low complication rate under appropriate internal and intensive care, surgery is recommended even in elderly women, if medical indication necessitates an invasive diagnostic or therapeutic procedure.

摘要

在一项对75岁以上女性进行的181例妇科手术的回顾性分析中,作者研究了手术是否具有意义和价值。50.3%的病例经组织学确诊为恶性肿瘤,而49.7%的病例是良性疾病导致了手术。术后发病率为7.73%,取决于手术的规模以及组织学检查结果的诊断状况。死亡率为0.55%。由于在适当的内科和重症监护下并发症发生率较低,因此,如果医学指征需要进行侵入性诊断或治疗程序,即使是老年女性也建议进行手术。

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