摘要
目的 :调查内镜保胆取石术 (EndoscopicMinimallyInvasiveCholecystolithotomy ,EMIC)后患者生存质量的变化 ,比较内镜保胆取石术与腹腔镜胆囊切除术 (LaparoscopicCholecystectomy,LC)对患者生存质量影响的差异。方法 :采用消化病生存质量指数 (GastrointestinalQualityofLifeIndex ,GLQI)前瞻性测定 2 3例内镜保胆取石术与 2 0例腹腔镜胆囊切除术在入院时、术前、术后 2 ,4,8周的生存质量值。结果 :EMIC组和LC组病人入院时平均GLQI指数分别为 1 1 5 .1分和 1 1 4 .3分 (P >0 .0 5) ;术前平均GLQI指数分别为 1 1 4 .2分和 1 1 0 .6分。术后 2周EMIC组GLQI指数为 1 1 1 .8分 ,与入院时比较下降不明显 (P >0 .0 5) ;术后 4周GLQI指数1 1 7.5分 ,超过入院时水平 ;术后 8周GLQI指数 1 2 3 .6分恢复至正常人水平。术后 2周LC组GLQI指数为1 0 7.1分 ,与入院时比降幅明显 (P <0 .0 5) ;术后 4周GLQI指数 1 1 1 .2分 ,超过术前水平 ;术后 8周GLQI指数 1 2 1 .3分 ,超过入院时水平 (P <0 .0 5)。EMIC组GLQI指数高于LC组 ,且上升快。结论 :内镜保胆取石术较腹腔镜胆囊切除术术后恢复快。
Objective:To evaluate the life quality of patients who underwent endoscopic minimally invasive cholecystolithotomy (EMIC) and laparoscopic cholecystectomy (LC) for cholelithiasis.Methods:A prospective survey was made on 23 patients receiving EMIC and 20 patients receiving LC. The quality of life was measured with the gastrointestinal quality of life index (GLQI) when hospitalizing and at preoperation and 2, 4? 8 weeks after the operation.Results:The mean GLQI scores were 115.1 and 114.3 when hospitalizing, and 114.2 and 110.6 at preoperation in the EMIC and LC group respectively. In the EMIC group, the quality of life was not considerably reduced at 2 weeks after operation with a mean GLQI score of 111.8( P >0.05); The quality of life was better than the level when hospitalizing at 4 weeks after operation with a mean GLQI score of 117.5, and reached to the normal level at 8 weeks after operation with a mean GLQI score of 123.6. In the LC group, the quality of life was evidently reduced at 2 weeks after operation with a mean GLQI score of 107.1 ( P <0.05). The quality of life was better than the preoperative level at 4 weeks after operation with a mean GLQI score of 111.2. The mean GLQI score at 8 weeks after operation was 121.3. The EMIC group showed higher GLQI scores than the LC group.Conclusions:EMIC is better and more rapid than LC in improving the quality of life postoperatively.
出处
《中国内镜杂志》
CSCD
2003年第8期23-25,共3页
China Journal of Endoscopy
关键词
生活质量
胆囊切除术
腹腔镜
内镜
胆石症
Quality of Life
Cholecystectomy
Laparoscopic
Endoscopy
Cholelithiasis
