高龄阑尾炎小切口手术治疗体会

Senior appendicitis treatment of small incision surgery

目的总结高龄阑尾炎病人的临床表现,并探讨围手术期的有关问题。方法回顾性分析年龄≥70岁,接受手术治疗的72例阑尾炎患者的临床资料。结果 72例高龄患者中,73.6%术前伴有高血压,冠心病,慢性肺病及糖尿病等老年常见病;72例均行小切口阑尾切除术,术后并发症发生率为12.5%,术前伴有其他系统疾病者并发症的发生率(20.8%)显著高于无其他系统疾病者(9.7%),P<0.01。结论高龄阑尾炎患者术前伴发疾病多,术后并发症发生率高,应加强围手术期的处理,小切口提高了手术的安全性,优于腹腔镜阑尾切除术,老年人容易接受。

Objective To summarize the elderly patient＇s clinical manifestations of appendicitis, and to explore perioperative issues. Methods Retrospective analysis of age ≥ 70 years old, received surgical treatment of 72 cases of clinical data of patients with appendicitis. Results The results of 72 cases of elderly patients, 73.6% with preoperative hypertension, coronary heart disease, diabetes and other chronic lung disease and old age diseases; lines are 72 cases of small incision appendectomy, the incidence of postoperative complications was 12.5%, preoperative persons with other diseases the incidence of complications （20. 8% ） was significantly higher than those without other diseases （9.7%）, P 〈0. 01. Conclusion Elderly patients with appendicitis associated with many diseases, the high incidence of postoperative complications, we should strengthen the treatment of peri - operative, small - incision surgery to improve the safety of laparoscopic appendectomy is superior to, the elderly find it easier to accept.