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[经过胆道重建的患者的生活质量]
Héctor Losada M1, Andrés Troncoso T1, Jorge Silva A1
1Departamento de Cirugía, Universidad de La Frontera, Temuco, Chile.
概括
在胆囊切除术中受伤后接受胆管重建的患者报告生活质量与没有手术并发症的患者相似. 这项研究比较了胆道损伤 (BDIC) 后胆道重建 (BDR) 和标准胆囊切除术的结果.
科学领域:
- 胃肠道学和肝胆道外科
- 手术结果研究研究.
- 患者生活质量研究 患者生活质量研究
背景情况:
- 胆管重建 (BDR) 是在胆囊切除术期间胆管损伤 (BDIC) 后的复杂程序.
- 评估BDR后患者的生活质量 (QL) 对于了解长期结果至关重要.
研究的目的:
- 为了将由于BDIC而接受BDR的患者的生活质量 (QL) 与对照组进行比较.
- 评估BDR对患者健康的长期影响,与无并发性胆囊切除术相比.
主要方法:
- 一组32名接受BDR治疗BDIC的患者与一组经过无事件胆囊切除术的患者进行了比较.
- 匹配标准包括年龄,性别和手术程序类型.
- 为了评估结果,进行了SF-36生活质量调查.
主要成果:
- 在各种生活质量领域,BDR队列和对照组之间没有观察到SF-36得分的显著差异.
- 该研究包括BDR组的32名患者 (平均年龄为47岁,78%为女性),平均随访时间为7年.
结论:
- 胆管损伤的胆管重建与无并发性胆囊切除术相比,似乎不会显著影响长期的生活质量.
- 患有BDIC病史和随后的BDR病史的患者保持与对照人群相比的生活质量相当.
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