Jaluvka V, Remy N
Frauenklinik, Freien Universität Berlin im Klinikum Steglitz.
Geburtshilfe Frauenheilkd. 1994 Jun;54(6):332-6. doi: 10.1055/s-2007-1022850.
We report on 28 surgical procedures performed between 1978 and 1992 performed on patients aged 90 years or older. 18 of them had a malignant tumour (11 mamma, 2 corpus, 3 vulva and 2 ovarian cancer), one had an ovarian cystoma. Three patients suffered from pelvic relaxation, four had postmenopausal bleeding, one vulvar dystrophy and one patient suffered from pyometra. Four laparotomies, three vaginal hysterectomies with colporrhaphy, four minor operations of the vulva, six curettages and eleven mammary operations were performed. During the surgical procedures, none of the patients died, whereas two patients died some time after the operation: so-called hospital mortality. The survival of the other patients was comparable to that of their age group. Two patients died of gynaecological diseases. After the surgical procedure, 21 patients reattained their preoperative level of health. 23 were satisfied with the result of the operation because of improvement of their complaints. If surgery in the aged allows the patients to lead a comfortable life, the operational risks can be justified.
我们报告了1978年至1992年间对90岁及以上患者实施的28例外科手术。其中18例患有恶性肿瘤（11例乳腺癌、2例子宫体癌、3例外阴癌和2例卵巢癌），1例患有卵巢囊肿。3例患者患有盆腔松弛，4例有绝经后出血，1例有外阴营养不良，1例患有积脓。实施了4例剖腹手术、3例阴道子宫切除术加阴道修补术、4例外阴小手术、6例刮宫术和11例乳腺手术。在手术过程中，没有患者死亡，而有2例患者在术后一段时间死亡，即所谓的医院死亡率。其他患者的生存率与同年龄组相当。2例患者死于妇科疾病。手术后，21例患者恢复到术前的健康水平。23例患者因症状改善而对手术结果满意。如果老年患者的手术能让他们过上舒适的生活，那么手术风险就是合理的。
