Dissertation > Excellent graduate degree dissertation topics show

Clinical Analysis of Gynecologic Surgical Treatment in 193 Cases of Elderly Women

Author: ZhaoHongShan
Tutor: ZhangXinYu
School: Dalian Medical University
Course: Obstetrics and Gynaecology
Keywords: Older women Perioperative Complications Complication
CLC: R713
Type: Master's thesis
Year: 2011
Downloads: 11
Quote: 0
Read: Download Dissertation

Abstract


Objective:To investigate the clinical features and preoperative announcements of elderly gynecological surgery in order to improve the safety of the procedure.Methods: A retrospective study of 193 patients aged 60 years or older,treated by surgical procedure was performed between March 1,2009 and August 31,2010 in the first affiliated hospital of Dalian Medical University.To analyze clinical features of patients and the related factors about prognosis and preoperative management.We utilized statistical software to analyze the clinical data and tried to evaluate its meaning.Results:1.Age characteristic and onset characteristic of elderly women: The ages of 193 patients were from 60 to 86 years old,the mean age was 71 years. The most common disease was gynecological malignancies(37.3%).The second was pelvic organ prolapse (28.0%), the next one was benign ovarian tumor (17.6%).2.Preexisting medical illnesses: 126(65.3%)among 193 cases had one or more preexisting medical illnesses, the most common preexisting medical illness was cardiovascular disease, secondly was diabetes mellitus. Statistical results suggested that there were statistical differences between age and medical illnesses group(P<0.05).3.Complications' dissertation">Complications: complications occurred in 67 patients (34.7%),while major surgical morbidity occurred in 2 cases, 1 case abandoned therapy and died after operation. Poor wound healing,urinary retention and anemia were common complications. Those who get complications had a longer hospital stay, compared the cases without complications, there were statistical significances (P<0.001).The former needed more operative time compared with the latter , a significant difference was found(P<0.001).Different age group and whether had preexisting medical illnesses was irrelevant with surgical morbidity, no significant significance(P>0.05).4.The influence of scope and way of operations on prognosis :radical operations had a higher surgical morbidity(P<0.05)and more hospital stay(P<0.001)than conservative operations. Vaginal group had a lower surgical morbidity and less hospital stay than abdominal group, a significant difference was found (P<0.05 .P<0.001)。Conclusion:1.The most common disease in 193 cases was malignancies,the second was pelvic organ prolapse. Endometrial carcinoma was the most common disease in gynecologic malignancies.2.Preexisting medical illnesses were common in elderly women. morbidity.Age alone was no longer a contraindication to surgery.3.Surgery range should be individualized according to disease and the physical condition. For elderly women, we should try to take select operation, choose conservative surgery, and operation time should be shortened as far as possible. We advocated minimally invasive surgery.4.Preexisting medical illnesses should be treatment.Perioperative complications should be prevented early and discovered timely and treated fully.

Related Dissertations

  1. The Curative Effect Contrast between the Percutaneous Hollow Compression Screw Internal Fixation and the Prosthetic Replacement for Joint in the Senile Osteoporosis Femoral Neck Fracture,R687.3
  2. Regional Resection of the Superficial Parotid Gland Benign Tumor Treatment Were Studied Retrospectively,R739.8
  3. Analyzing Complications of 47 Cases of Laparoscopic Gynecologic Surgery,R713
  4. Atelectasis after thoracotomy clinical analysis,R563.4
  5. Clinical analysis of 978 cases of acute pancreatitis,R576
  6. Perioperative immune-enhancing enteral nutrition on immune function in patients with colorectal cancer effects,R735.34
  7. Alprostadil on liver surgery and perioperative stress response early postoperative liver function,R735.7
  8. Ultrasound cervical plexus block in the application,R614
  9. Analysis of the Long Term Complications of Patients Suffered from Subtotal Gastrectomy Due to Benign Gastroduodenal Diseases,R656.6
  10. Lumbar disc herniation perioperative nursing workload measurement project screening study,R473.6
  11. Tai'an City, 886 the third trimester of pregnancy nutrition and health of women and childbirth survey analysis,R714.2
  12. Clinical Analysis of the Complications Following Correction of Prominent Mandibular Angle,R622
  13. Compare Different Indexes of Blood Glucose Fluctuation to Investigate the Practical Application in Blood Glucose Monitoring of Diabetes,R587.1
  14. Prevention and Management of Complications Following Total Cystectomy and Neobladder,R737.14
  15. Effects of ω-3 Fish Oil Fatty Emulsion Administration on the Influence of Acute Stress Response and the Function of Gastrointestinal Tract Recovery T in the Patients with Gastrointestinal Tract Malignant Tumor Surgery,R735
  16. Elastic band parade compose their physical fitness of elderly women in rats,G812.48
  17. Clinical Study on Acute Secondary Peritonitis,R656.41
  18. Clinical Analysis of 311 Senior Cases with Oral and Maxillofacial Tumor in Perioperative Period,R739.8
  19. Clinical Application of Medical Food in Children Obstructive Sleep Apnea Hypopnea Syndrome Perioperative,R766
  20. Glioma early postoperative epilepsy clinically relevant factors,R742.1

CLC: > Medicine, health > Obstetrics and Gynaecology > Gynecological surgery
© 2012 www.DissertationTopic.Net  Mobile