微创与开腹对肝脏良性疾病患者生存质量的影响

The Influence of Minimal Invasive Therapy and Open Operation on the Quality of Life of Patient with Benign Hepatic Disease

目的:调查肝脏良性疾病手术后患者生存质量的变化,比较开腹与微创术对患者生存质量影响的差异。方法:63例肝脏良性疾病患者根据手术所采取的方式不同分为开腹手术组(A组)32例和微创术组(B组)31例,均于术前及术后2、6周和6个月时采用生存质量测定量表简表(WHO-QOL)评定2组患者生存质量。结果:手术后2周,WHO-QOL中社会关系领域2组与术前比较均下降(P<0.05),生理、心理和环境领域评分,B组均明显高于A组(P<0.05),且A组患者使用镇痛药物明显多于B组;至手术后6个月,社会关系领域评分,B组已高于术前及A组(P<0.05),而A组仍明显低于术前(P<0.05),而生理、心理和环境领域,2组比较差异无显著性意义。结论:微创术较开腹手术更有利于肝脏良性疾病患者术后恢复和生存质量的提高。

Objective：To evaluate the change of the quality of life of patients with benign hepatic diseases after operation, compare the effects of minimal invasive therapy vs open operation on the quality of life. Methods： Sixty three pa tients with benign hepatic diseases were divided into groups of open operation （32 patients） and group of minimal invasive therapy （31 patients）. WHOQOL- BREF was used to measure the quality of life before and 2 weeks, 6 weeks, 6 months after operalion in eacb group. Results： Two weeks after operation, the scores of group of minimal invasive therapy in physieal, psychological and environmemal domains were significantly higher than those in group of open operation （P〈 0.05） and more anodyne was used in group of open operation. On the 6th month after operation, the score of two groups had no difference. In social relation domain, the score of both groups was decreased on the 2nd week after operation （P〈 0.05）. On the 6th month after operation, the scores of group of minimal invasive therapy were higher than those before operation （P〈0.05）, but still lower in group of open operation （P〈0.05）. Conclusion： Minimal invasive therapy is bet ter than open operation on the rehabilitation and improvement of quality of life after operation in patients with benign hepatic diseases.