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目的:分析并探讨妇科疾病合并风湿性疾病患者的围手术期特点。方法:回顾性分析2002年1月至2012年2月山西医科大学第二医院收治的30例风湿性疾病合并妇科手术患者的临床资料,对其手术并发症情况,手术时间及术中出血量进行分析。结果:30例风湿性疾病患者出现术后并发症的几率为13.3%,同期妇科手术患者并发症几率为3.3%。缓解期出现妇科疾患的21例,活动期出现妇科疾患的9例,活动期出现术后并发症的几率为37.5%,缓解期出现结术后并发症的几率为4.76%。结论:活动期风湿性疾病患者及老年患者进行妇科手术时更易发生术后并发症;类风湿性关节炎及皮肌炎患者有发生妇科肿瘤的可能。
Objective: To analyze and discuss the perioperative characteristics of patients with gynecological diseases complicated with rheumatic diseases. Methods: The clinical data of 30 patients with rheumatic diseases combined with gynecological surgery who were admitted to the Second Hospital of Shanxi Medical University from January 2002 to February 2012 were retrospectively analyzed. The complications, operation time and intraoperative blood loss were analyzed analysis. Results: The incidence of postoperative complications in 30 patients with rheumatic diseases was 13.3%. The incidence of complications in gynecological surgery patients was 3.3% in the same period. There were 21 cases of gynecological diseases in remission, 9 cases of gynecological diseases in active stage, the incidence of postoperative complications in active stage was 37.5%, and the rate of postoperative complications was 4.76% in remission stage. Conclusion: Patients with active rheumatic diseases and elderly patients with gynecological surgery are more likely to postoperative complications; patients with rheumatoid arthritis and dermatomyositis may occur gynecological tumors.