胆石症患者不同术式后生存质量调查

Investigation on the life quality of post-operative patients with cholelithiasis

目的了解不同术式对胆石症患者生存质量的影响。方法采用消化病生存质量指数(GLQI)测定253例采用不同术式治疗的胆石症患者术后生存质量值。结果 253例胆石症患者术后GLQI指数平均分为114.3分,明显低于正常人群124.5分,(P<0.01)。保胆术后患者GLQI指数为117.6分,胆囊切除性手术患者术后GLQI指数为110.7分,两者之间差异有显著性(P<0.01);开腹胆囊切除术患者术后GLQI指数为110.9分,腹腔镜胆囊切除术患者术后GLQI指数为110.2分,两者之间比较差异无显著性(P>0.05)。结论保胆手术术后患者生存质量明显高于胆囊切除性手术患者,切除胆囊能使患者的生存质量明显下降。

【Objective】To evaluate the influence of different operative ways on the life quality of post-operative patients who suffered from cholelithiasis.【Methods】Values in the life quality of 253 post-operative patients suffering from cholelithiasis were tested by using gastrointestinal quality of life index. 【Results】The mean GLQI score of 253 patients suffering from cholelithiasis is 114.3,and much less than that of normal cases whose GLQI score was 124.5 （P 0.01）. The mean GLQI score of patients who underwent gallbladder-preserving operation was 117.6,and the mean GLQI score of patients who underwent cholecystectomy was 110.7,and there were significant difference （P 0.01）. The mean GLQI score of patients who underwent open cholecystectomy was 110.9,and the mean GLQI score of patients who underwent laparoscopic cholecystectomy was 110.2,and there were not significant difference （P 0.05）.【Conclusions】The life quality of patients with cholelithiasis who underwent gallbladder-preserving operation is better than that of patients who underwent cholecystectomy. To excise gallbladder decreases the life quality of patients.