摘要
目的:评估在中国这样一个人口众多、医疗资源相对不足的国家推广日间腹腔镜胆囊切除术(day-care laparo-scopic cholecystectomy,DCLC)的可行性,总结其短期临床疗效及对生活质量的影响。方法:2009年9月1日至2010年3月31日共纳入167例患者,依据所在医院分别行DCLC(DCLC组)及常规腹腔镜胆囊切除术(conventional laparoscopic cholecystecto-my,CLC)(CLC组)。记录手术相关情况及术后并发症。采用SF-36和消化系统疾病生活质量(gastrointestinal quality of life in-dex,GIQLI)量表分别于术前、术后2周及术后1个月记录患者生活质量。结果:两组患者年龄、性别、体重指数、ASA评分、手术指征、手术时间、出血量及术后并发症等差异无统计学意义(P>0.05)。研究期间无二次入院患者。术前、术后2周及术后1个月两组患者SF-36及GIQLI各维度差异亦无统计学意义(P>0.05)。住院时间及扣除耗材费用后的住院费用DCLC组显著优于CLC组(P<0.05)。结论:DCLC安全有效,可缩短住院时间、降低住院费用,在生活质量方面与CLC相比差异无统计学意义,日间手术在中国推行是可行的。
Objective ：To assess the feasibility of promoting day-care laparoscopie cholecysteetumy （LC） in a country like Chi- na who has a large population and relatively insufficient medical resource,and summarize its short-term clinical efficeacy and effects on patient quality of life. Methods：A total of 167 patients were admitted between Sep. 1. 2009 and Mar. 31. 2010, and were divided into day-care operation group（ 106 cases）as well as routine operation group（6! cases）. Details of the operation and postoperative complica- tions were recorded accurately. Patient quality of life was recorded with SF-36 and gastrnintestinal quality of life imlex（GIQLI） scales preoperatively,2 weeks and i month after operation. Results：There were no statistically differences on patients age, gender, body mass index,ASA seore, operation indications, operation duration, blood loss and postoperative complications between the 2 groups （P 〉 0.05）. There was no readmission during the research period. There was no significantly statistical differences in each dimension of SF- 36 and GIQLI scaales preoperatively,2 weeks and 1 month postoperatively between the 2 groups either（P 〉 0.05）. l）ay-care operation group displayed more advantages over routine group on hospital stay and costs after deduction of consumables tee （ P 〈 0.05 ）. Conclu- sions： Day-eare LC is a kind of safe and effeetive procedure which has the advantage of shorter hospital stay and less cost. Because it has no significant differences from the traditional LC,it could be promoted in China.
出处
《腹腔镜外科杂志》
2012年第8期567-572,共6页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
日间手术
生活质量评价
Chnlecystectomy, laparnscopic
Day-care operation
Quality of life assessment
