老年妇科恶性肿瘤合并冠心病患者行妇科手术的临床体会

Surgical operation of gynecologic malignances in elderly women with coronary heart disease:a clinical analysis

目的:观察老年妇科恶性肿瘤合并冠心病患者行妇科手术的临床资料,探究合并冠心病的老年妇科恶性肿瘤患者手术的可行性及安全性分析。方法:收集我院妇产科2008年6月至2016年5月,老年妇科恶性肿瘤患者41例,比较合并冠心病及无冠心病两组妇科肿瘤患者手术时间、平均住院日、术中出血量及术后并发症情况以及心脏病组术前术后BNP、心肌标志物等相关指标。结果:41例患者均顺利完成手术,合并冠心病手术组手术时间、平均住院日、术中出血量及术后并发症较无冠心病手术组比较,并无明显差别(P>0.05)。手术并不使患者心功能恶化。结论:冠心病不是手术的禁忌,经过周密的术前准备和术后处理,合并冠心病的老年妇科恶性肿瘤患者能够耐受手术,而广泛性手术组较局限性手术组术后并发症明显增加,故手术方式需个体化。

Objective：To assess the viability of performing surgical operation on elderly gynecologic malignances patients. Melhods：A retrospective study of all elderly patients receiving surgical operation for gy- necologic malignances from June, 2008 to May, 2016 was performed. 41 patients were analysed. Compare the operation time, average confinement, intraoperative blood loss and postoperative complications. Results ：There were no differences in operation time, average hospital stay, preexisting medical illnesses, intraoperative blood loss and postoperative complications between patients receiving the same surgery with or without coronary heart disease. Conclusion： Careful preoperative assessment, monitoring, and meticulous postoperative care are vital to the success for gynecologic malignant tumors in aged patients with coronary heart disease. The incidence of surgical complications increased significantly in the extensive treatment group, individualized operation methods is of great importance.