胆囊炎患者腹腔镜胆囊切除术后胃肠道症状的临床观察

Clinical observation of gastrointestinal symptoms in patients with cholecystitis after laparoscopic cholecystectomy

目的调查胆囊炎患者施行腹腔镜胆囊切除术(LC)后胃肠道症状变化情况。方法统计2013年8月-2015年9月因急慢性胆囊炎在医院行腹腔镜胆囊切除术治疗的患者26例,通过《消化道相关生存质量量表》评估患者术后6个月胃肠道症状与术前症状的变化情况。结果通过评估,在LC术后有9项消化道症状(9/16)得到不同程度的缓解,其他7项消化道症状未见好转。值得注意的是,26例患者术后出现腹泻,另有2例术后发生胆汁性反流性胃炎。结论急慢性胆囊炎患者术前多数消化道症状通过LC术能够得到明显缓解,但部分症状未见明显改善。术后应关注可能出现的胆汁性反流性胃炎及术后腹泻。

Objective To investigate the changes of gastrointestinal symptoms in patients with cholecystitis after laparoscopic cholecystectomy. Methods Patients with acute and chronic cholecystitis treated by laparoscopic cholecystectomy were chosen as the research object between August 2013 to September 2015. The changes of gastrointestinal symptoms and preoperative symptoms in 6 months after operation were evaluated by the alimentary tract related quality of life scale. Results By evaluating, after the operation, there were 9 cases of digestive tract symptoms （9/16） to varying degrees of relief. The other 7 digestive symptoms did not improve. It is worth noting that, diarrhea occurred in 26 patients. Another 2 patients had bile reflux gastritis after operation. Conclusion The majority of patients with acute and chronic cholecystitis before surgery can signifi- cantly relieve the symptoms of gastrointestinal tract by LC operation. However, some patients did not significantly improve symptoms. After operation, we should pay attention to the patients with bile reflux gastritis and postoperative diarrhea.