采用消化病生存质量指数(gastrointestinal quality of life index,GIQLI)前瞻性测定45例微创内引流一期缝合术与42例开腹胆总管探查术治疗肝外胆管结石在术前、术后2,4,8,12周的生存质量值。结果显示微创组较开腹组治疗肝外胆管结石更有利于患者术后恢复和生存质量提高,微创手术患者术后生存质量更好。
A prospective survey was made on 45 patients receiving laparoscopic choledochotomy with endobiliary stent and primary closure of the common bile duct and 42 patients receiving open common bile duct exploration. The quality of life was measured with the GILQI preoperatively, and at 2, 4, 8 and 12 weeks after the operation. As compared with laparotomy operation, mini-invasive operation is better or more rapidly in improving the quality of life postoperatively,and mini- invasive operation in the treatment of extrahepatic biliary duct stone is found to be significantly superior to laparotomy operation with respect to the quality of life.