腹腔镜下胆总管切开取石术对患者胃肠道功能及生活质量的影响

The Influence of Laparoscopic Common Bile Duct Incision Stone Operation on Patients with Gastrointestinal Function and the Quality of Life

目的:探讨腹腔镜下胆总管切开取石术的临床优势,以及对患者胃肠道功能及生活质量的影响。方法:120例胆总管结石患者随机分为观察组和对照组各60例,观察组患者采用腹腔镜下胆总管切开取石术,对照组行传统的开腹手术。结果:观察组患者平均手术时间、术中失血量及术后平均住院时间均少于对照组,差异均有统计学意义(P<0.05);观察组患者术后首次肛门排便时间和首次肛门排气时间均早于对照组,差异存在统计学意义(P<0.05);两组患者术前及术后16周GIQLI评分比较,差异均无统计学意义(P>0.05),但术后2、5和10周,观察组患者GIQLI评分明显高于对照组(P<0.05)。结论:腹腔镜胆总管探查术手术创伤小,对患者生理功能干扰轻,术后患者肠道功能恢复较快,而且更有利于术后短期内患者生活质量的提高,值得临床推广应用。

Objective： To investigate the laparoscopic choledocholithotomy clinical advantages, as well as on patients with gastrointestinal function and quality of life. Method： 120 cases of common bile duct stones in patients were randomly divided into the observation group and the control group, with 60 cases in each group, the observation group were treated by laparoscopic choledocholithotomy, the control group re- ceived traditional open operation. Result： Average operation time, intraoperative blood loss and postopera- tive hospitalization time in the patients in the observation group was less than that in the control group, the difference was statistically significant （ P 〈 0.05 ） ; First anal defecation time and first time anal exhaust time observation group patients earlier than in the control group, the difference was statistical significance （ P 〈 0. 05 ） ; 16 weeks GIQLI score comparison two groups of patients before and after operation, there was no significant differences between them （ P 〉 0. 05 ）, but after 2, 5 and 10 weeks, the patients in the observation group GIQLI score was significantly higher than the control group （ P 〈 0. 05 ）. Conclusion： Laparoscopic common bile duct exploration operation on patients with minor trauma, physiological function of interference of light, patients with postoperative intestinal function recovery faster, and there is more advantageous in a short time after operation in patients with improved quality of life, worthy Of clinical application.