胆道探查术后患者生存质量分析

Quality of life for patients after common bile duct exploration

目的探讨胆道探查患者手术前后生存质量的变化。方法采用GIQLI生存质量指标评定156例胆道探查手术患者术前及术后2、8、12、16周的生存质量。结果胆道探查患者手术前平均GIQLI指数109．2分，术后2周平均GIQu指数102．5分（P〈0．05），术后8周平均GIQLI指数108．3分（P〉0．05），术后12周平均GIQLI指数116．5分（P〈0．05），术后16周平均GIQLI指数123．5分（P〈0．05）。腹腔镜胆道探查患者（n=69）术后2、8、12周平均GIQLI指数高于开腹胆道手术组（n=87）（分别为106．2±14．1比96．3±11．1，P〈0．05；117．6±12．3比106．7±11．6，P〈0．05；122．1±10．2比115．6±13．8，P〈0．05）。结论胆道手术患者术后短期生存质量下降，与手术创伤、术后留置T管、手术并发症有关；腹腔镜胆道探查手术后较开腹胆道手术后生存质量高。

Objective To evaluate the changes in the quality of life for patients who underwent common bile duct exploration for choledocholithiasis. Methods The quality of life of 156 Patients who underwent common bile duct exploration were assessed using the gastrointestinal quality of life index （GIQLI） before and 2, 8, 12, 16weeks after operation. Results The mean preoperative GIQLI score of the patients was 109.2. The mean postoperative scores were 102.5（P〈0.05）, 108.3 （P〉0.05）, 116.5 （P〈0.05）, and 123. 5 （P〈0.05） at 2, 8, 12, and 16 weeks after operation, respectively. The GIQLI score of the laparoscopic common bile duct exploration group （n= 69） was significantly higher than that of the open common bile duct exploration group （n=87） at 2, 8 andl2 months after operation （P〈0.05） （106.2±14.1 vs 96.3±11.1, P〈0.05; 117.6±12.3 vs 106.7±11.6, P〈0. 05; 122. 122.1±10.2 vs 115.6 ± 13.8, P〈0. 05）. Conclusions The quality of life for patients who underwent common bile duct exploration decreased in the early period after operation due to surgery, indwelling T tubes and complications. The quality of life after laparoscopie common bile duct exploration was better than open common bile duct exploration.