腹腔镜食管裂孔疝修补术并胃底折叠术对患者生存质量的影响

Impact of laparoscopic hiatal hernia repair and fundoplication on patient quality of life

目的:探讨腹腔镜食管裂孔疝修补术并胃底折叠术对患者生存质量的影响。方法:采用消化病生存质量指数(gastrointestinal Lebens qualities index,GLQI)前瞻性地测定29例患者行腹腔镜食管裂孔疝修补术和胃底折叠术前,术后2周、1个月、3个月、6个月的生存质量值,并进行临床分析。结果:术前患者GLQI指数平均(83.62±13.14),明显低于正常人群(121～125分);术后2周平均(86.76±10.16),较术前有所升高,差异无统计学意义(P>0.05),但患者精神、心理较术前改善(P<0.05);术后1个月、3个月平均为(106.83±8.40)及(113.35±8.54),较术前及术后2周明显升高,差异有统计学意义(P<0.05);术后6个月平均(121.45±5.96),接近或达到正常水平。结论:腹腔镜食管裂孔疝修补术和胃底折叠术可提高患者术后生存质量,使其生存质量接近或达到正常人水平。

Objective：To explore laparoscopic hiatal hernia repair and fundoplication effect on the quality of life for patients.Methods：Gastrointestinal Lebens qualities index（GLQI） prospectively was measured for 29 cases of laparoscopic hiatal hernia repair and fundoplication patients before and after 2 weeks,1 month,3 months,6 months,quality of life values,clinical analysis was made.Results：Preoperative patients GLQI index（83.62±13.14） was significantly lower than the normal population 121-125 points.After 2 weeks,the patient GLQI index（86.76±10.16）,somewhat higher than before surgery,but the difference was not significant（P0.05）,mental,psychological areas were significantly improved compared with the preoperative data（P0.05）.Surgery after 1 month,3 months,the index patient GLQI index（106.83±8.40）,（113.35±8.54） were significantly higher compared with preoperative and postoperative 2 weeks data（P0.05）.Six months later,the patient GLQI index（121.45±5.96）was close to or reached normal levels.Conclusions：Laparoscopic hiatal hernia repair and fundoplication can improve postoperative quality of life,which could be close to or reach normal levels.