腹腔镜食管裂孔疝修补术并胃底折叠术对患者生存质量的影响

目的:探讨腹腔镜食管裂孔疝修补术并胃底折叠术对患者生存质量的影响。方法:采用消化病生存质量指数(gastrointestinal Lebens qualities index,GLQI)前瞻性地测定29例患者行腹腔镜食管裂孔疝修补术和胃底折叠术前,术后2周、1个月、3个月、6个月的生存质量值,并进行临床分析。结果:术前患者GLQI指数平均(83.62±13.14),明显低于正常人群(121～125分);术后2周平均(86.76±10.16),较术前有所升高,差异无统计学意义(P>0.05),但患者精神、心理较术前改善(P<0.05);术后1个月、3个月平均为(106.83±8.40)及(113.35±8.54),较术前及术后2周明显升高,差异有统计学意义(P<0.05);术后6个月平均(121.45±5.96),接近或达到正常水平。结论:腹腔镜食管裂孔疝修补术和胃底折叠术可提高患者术后生存质量,使其生存质量接近或达到正常人水平。

Impact of laparoscopic hiatal hernia repair and fundoplication on patient quality of life

Objective:To explore laparoscopic hiatal hernia repair and fundoplication effect on the quality of life for patients.Methods:Gastrointestinal Lebens qualities index(GLQI) prospectively was measured for 29 cases of laparoscopic hiatal hernia repair and fundoplication patients before and after 2 weeks,1 month,3 months,6 months,quality of life values,clinical analysis was made.Results:Preoperative patients GLQI index(83.62±13.14) was significantly lower than the normal population 121-125 points.After 2 weeks,the patient GLQI index(86.76±10.16),somewhat higher than before surgery,but the difference was not significant(P>0.05),mental,psychological areas were significantly improved compared with the preoperative data(P<0.05).Surgery after 1 month,3 months,the index patient GLQI index(106.83±8.40),(113.35±8.54) were significantly higher compared with preoperative and postoperative 2 weeks data(P<0.05).Six months later,the patient GLQI index(121.45±5.96)was close to or reached normal levels.Conclusions:Laparoscopic hiatal hernia repair and fundoplication can improve postoperative quality of life,which could be close to or reach normal levels.