【摘要】 [目的]比较经腹腔镜胆囊切除术和小切口胆囊切除术对患者生存质量的影响。[方法]采用消化系统疾病生存质量指数(Gastrointestinal Quality of Life Index,GLQI)对经腹腔镜胆囊切除术128例(LC组)和小切口胆囊切除术136例(MC组)在术前、术后2周及1、6、12、24个月后进行生存质量随访评估。[结果]术后2周,LC组患者GLQI总分和生存质量的各个方面得分虽较术前下降,但差异无统计学意义(P﹥0.05)。术后1个月之后LC组GLQI总分及自觉症状、社会活动状态、生理功能状态和心理情绪状态得分均显著高于术前水平(P﹤0.05)。MC组术后2周时GLQI总分和生存质量的各个方面得分均下降明显(P﹤0.05);术后6个月以后,MC组GLQI各指标得分及GLQI总分均显著高于术前水平(P﹤0.05)。组间比较,术后2周和术后1个月MC组社会活动状态、生理功能状态和心理情绪状态得分及GLQI总分均显著低于LC组(P﹤0.05);术后6个月和12个月MC组社会活动状态和心理情绪状态得分及GLQI总分均显著低于LC组(P﹤0.05)。[结论]腹腔镜胆囊切除术较小切口胆囊切除术术后恢复快,更有利于患者术后生活质量的提高。更多还原

【Abstract】 [Objective]To investigate and explore the quality of life of Mini-cholecystectomy(MC)and laparoscopic cholecystectomy(LC).[Methods]The quality of life was evaluated in 264 patients after laparoscopic cholecystectomy(Group LC,128 patients)or mini cholecystectomy(Group MC,136 patients)with the Gastrointestinal Quality of Life Index(GLQI).[Results]In LC group,GLQI score,the rational symptom,physiological function,social functioning and emotional and physiological status reduced slightly at two weeks after the operation(P﹥0.05). The LC group showed significant improvement in GLQI score and in the rational symptom,physiological function,social functioning and emotional and physiological status from 1 months postoperatively.In MC group,GLQI score,the rational symptom,physiological function,social functioning and emotional and physiological status reduced significantly at two weeks after the operation(P﹤0.05).The MC group showed significant improvement in GLQI score and in the rational symptom,physiological function,social functioning and emotional and physiological status from 6 months postoperatively. The GLQI score,the social functioning,physiological function,emotional and physiological status in MC group were lower than those in LC group from 1 week and 6 months postoperatively. The GLQI score,social functioning and emotional and physiological status in MC group were lower than those in LC group from 6 and 12 months postoperatively.[Conclusion]LC is better and more rapid than MC in improving the quality of life postoperatively.更多还原