CAJ | 학술논문

目的比较单孔法、三孔法及四孔法腹腔镜下胆囊切除术对患者预后及生活质量的影响.方法以行腹腔镜胆囊切除术患者60例为研究对象,分别采用单孔法、三孔法及四孔法腹腔镜下胆囊切除术,比较不同方法腹腔镜下胆囊切除术术中一般情况、患者术后恢复情况及并发症发生情况,并对消化系统疾病生活质量指数进行比较分析.结果单孔组手术时间较三孔组、四孔组明显延长(t =3.82、4.04,均P＜0.05),但术中出血量、住院时间、住院费用均明显低于三孔组、四孔组(均P＜0.05);单孔组、三孔组、四孔组并发症发生率分别为50.0％、32.0％、44.0％,三组间并发症发生率差异无统计学意义(P＞0.05).出院时,三孔组、四孔组消化系统疾病生活质量指数(CIQLI)各维度评分较入院时差异均无统计学意义(均P＞0.05),单孔组生理功能、社会活动、精神心理及CIQLI总分均较入院时明显提高(t=2.22、1.87、2.31、2.43,均P＜0.05),与三孔组、四孔组差异均有统计学意义(均P＜0.05).结论单孔腹腔镜下胆囊切除术较三孔、四孔法可显著减少患者术中出血量、缩短住院治疗时间、减少住院费用,并有效改善患者术后生活质量.
목적 비교단공법、삼공법급사공법복강경하담낭절제술대환자예후급생활질량적영향.방법 이행복강경담낭절제술환자60례위연구대상,분별채용단공법、삼공법급사공법복강경하담낭절제술,비교불동방법복강경하담낭절제술술중일반정황、환자술후회복정황급병발증발생정황,병대소화계통질병생활질량지수진행비교분석.결과 단공조수술시간교삼공조、사공조명현연장(t =3.82、4.04,균P＜0.05),단술중출혈량、주원시간、주원비용균명현저우삼공조、사공조(균P＜0.05);단공조、삼공조、사공조병발증발생솔분별위50.0％、32.0％、44.0％,삼조간병발증발생솔차이무통계학의의(P＞0.05).출원시,삼공조、사공조소화계통질병생활질량지수(CIQLI)각유도평분교입원시차이균무통계학의의(균P＞0.05),단공조생리공능、사회활동、정신심리급CIQLI총분균교입원시명현제고(t=2.22、1.87、2.31、2.43,균P＜0.05),여삼공조、사공조차이균유통계학의의(균P＜0.05).결론 단공복강경하담낭절제술교삼공、사공법가현저감소환자술중출혈량、축단주원치료시간、감소주원비용,병유효개선환자술후생활질량.
Objective To explore the clinical efficacy and the influence of one-port,three-port and four-port laparoscopic cholecystectomy on quality of life in patients with laparoscopic cholecystectomy.Methods The clinical data of 60 patients with laparoscopic cholecystectomy were reviewed,and to compare the general condition,the influence of postoperative recovery and complications,disease of digestive system and the quality of life index in patients treated by one-port laparoscopic cholecystectomy(one-port group),three-port laparoscopic cholecystectomy(three-port group) and four-port laparoscopic cholecystectomy(four-port group).Results Although the time of operation in oneport group was longer than the other two groups (t =3.82,P ＜ 0.05 ; t =4.04,P ＜ 0.05),there were significant differ ences in the volume of the inoperative blood loss,hospital stay time,hospital costs in one-port group compared with the other two groups (P ＜ 0.05).There was no difference among the three groups in the incidence of postoperative complications (P ＞ 0.05).And when leaving hospital,the score of all dimensionalitis in the scale of Gastrointestinal quality of life index (CIQLI),containing the state of physiological function,state of daily life and social activities,psychological emotional state and quality of life of the total score were all higher than those in the other two groups (t =2.22,1.87,2.31,2.43,all P ＜ 0.05),and there was no difference between three-port group and four-port group(P ＞ 0.05).Conclusion Compared with the three-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy,one-port laparoscopic cholecystectomy can reduce the inoperative blood loss,shorten hospitalization time and reduce their fee in hospital,and it also can effectively improve patients'quality of life,restore the patients'normal work and life in the shortest possible time.