复杂性肝胆管结石行腹腔镜胆总管探查术对生存质量及预后的影响  

Effect of laparoscopic common bile duct on quality of life and prognosis of complex hepatolithiasis

作　　者：王丽[1] 林海清[2] 傅莉君 胡春英 王海霞 Wang Li;Lin Haiqing;Fu Lijun;Hu Chunying;Wang Haixia(Department of Operation Room,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Wenzhou Medical University;Department of General Surgery,Pujiang Second Hospital)

机构地区：[1]温州医科大学附属第一医院手术室,325000 [2]温州医科大学附属第一医院肝胆外科 [3]金华市浦江第二医院普外科

出　　处：《中国医院统计》2018年第6期464-466,共3页Chinese Journal of Hospital Statistics

摘　　要：目的探讨复杂性肝胆管结石行腹腔镜胆总管探查术对生存质量及预后的影响。方法选取104例复杂性肝胆管结石患者,按照随机数字表法分为研究组(行腹腔镜胆总管探查术,52例)和对照组(行开腹胆总管探查术,52例)。观察并比较2组患者的手术相关指标、生存质量评分、并发症及结石复发情况。结果研究组患者术中出血量、手术时间、术后肛门排气时间、治疗费用、住院时间均小于对照组,差异均具有统计学意义(t=-12. 275,-8. 675,-9. 962,-14. 008,-7. 603,均P <0. 05);研究组患者的生存质量评分高于对照组(t=-13. 406,P <0. 05);并发症发生率及结石复发率均低于对照组,差异均具有统计学意义(χ~2=7. 081,3. 983,均P <0. 05)。结论复杂性肝胆管结石行腹腔镜胆总管探查术可缩短手术时间,降低术中出血量,治疗费用较低,可提高患者的生存质量,预后良好,值得推广应用。Objective To investigate the effect of laparoscopic common bile duct on the quality of life and prognosis of complex hepatolithiasis.Methods One hundred and four patients with complicated hepatolithiasis were divided into the study group(laparoscopic common bile duct,52 cases)and control group(open bile duct exploration,52 cases)according to the random number table.The operation-related indexes,quality of life scores,complications and recurrence of stones were observed and compared between the two groups.Results The bleeding volume,operation time,anal exhaust time,treatment cost and hospital stay in the study group were all less than those in the control group,and the differences were statistically significant(t=-12.275,-8.675,-9.962,-14.008,-7.603,all P<0.05).The quality of life of the study group was higher than that of the control group(t=-13.406,P<0.05).The incidence of complications and the recurrence rate of stone of the study group were lower than those of the control group,and the difference was statistically significant(χ2=7.081,3.983,all P<0.05).Conclusion Laparoscopic common bile duct exploration of complicated hepatolithiasis can shorten the operation time,reduce the amount of intraoperative bleeding and cost of treatment,can significantly improve the quality of life of patients,and the prognosis is good,so it is worth promoting the application.

关 键 词：肝胆管结石 腹腔镜胆总管探查术 生存质量 预后 

分 类 号：R195.4[医药卫生—卫生统计学]