切换至 "中华医学电子期刊资源库"

中华肝脏外科手术学电子杂志 ›› 2017, Vol. 06 ›› Issue (03) : 172 -176. doi: 10.3877/cma.j.issn.2095-3232.2017.03.006

所属专题: 文献

临床研究

捆绑式胰胃吻合术患者术后生活质量调查的初步报告
王亮1, 金星2, 于源泉1, 周冬儿1, 金赟1, 张小小1, 刘达人1, 李江涛1,(), 彭淑牖1   
  1. 1. 310009 杭州,浙江大学医学院附属第二医院普通外科
    2. 350005 福州,福建医科大学附属第一医院肝胆外科
  • 收稿日期:2017-03-22 出版日期:2017-06-10
  • 通信作者: 李江涛
  • 基金资助:
    国家自然科学基金(81570559); 浙江省卫生厅科研基金(2011KYA069)

Preliminary report of quality of life survey in patients after binding pancreaticogastrostomy

Liang Wang1, Xing Jin2, Yuanquan Yu1, Donger Zhou1, Yun Jin1, Xiaoxiao Zhang1, Daren Liu1, Jiangtao Li1,(), Shuyou Peng1   

  1. 1. Department of General Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
    2. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China
  • Received:2017-03-22 Published:2017-06-10
  • Corresponding author: Jiangtao Li
  • About author:
    Correspondent author: Li Jiangtao, Email:
引用本文:

王亮, 金星, 于源泉, 周冬儿, 金赟, 张小小, 刘达人, 李江涛, 彭淑牖. 捆绑式胰胃吻合术患者术后生活质量调查的初步报告[J]. 中华肝脏外科手术学电子杂志, 2017, 06(03): 172-176.

Liang Wang, Xing Jin, Yuanquan Yu, Donger Zhou, Yun Jin, Xiaoxiao Zhang, Daren Liu, Jiangtao Li, Shuyou Peng. Preliminary report of quality of life survey in patients after binding pancreaticogastrostomy[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2017, 06(03): 172-176.

目的

探讨捆绑式胰胃吻合术(BPG)患者术后生活质量。

方法

回顾性分析2013年5月至2015年8月在浙江大学医学院附属第二医院行BPG的20例患者临床资料。其中男11例,女9例;年龄23~79岁,中位年龄57岁。17例行胰十二指肠切除术,3例行胰腺中段切除术。患者均签署知情同意书,符合医学伦理学规定。采用汉化的健康调查量表(SF-36)对BPG患者术后健康相关生活质量进行随访调查。将BPG术患者术后6、12个月SF-36健康调查数据分别和健康人群数据进行比较。两组SF-36评分数据比较采用t检验。

结果

BPG患者术后6个月时的生理职能、生活功能、情感职能评分分别为(44±43)、(71±22)、(43±42)分,明显低于健康人群的(81±34)、(83±18)、(84±32)分(t=-3.843,-2.480,-4.370;P<0.05)。BPG患者术后12个月时的生理职能、情感职能评分分别为(54±18)、(54±24)分,明显低于健康人群的(81±34)、(84±32)分(t=-2.438,-2.374;P<0.05);而总体健康、生理功能、躯体疼痛、活力、生活功能和精神健康评分与健康人群差异无统计学意义(P>0.05)。

结论

BPG患者术后6个月时生理职能、生活功能和情感职能有一定的改变,术后12个月患者生活质量可趋于正常化,但生理职能和情感职能仍有一定影响,应加强心理方面宣教。

Objective

To investigate the postoperative quality of life of the patients after binding pancreaticogastrostomy (BPG).

Methods

Clinical data of 20 patients who underwent BPG in the Second Affiliated Hospital of Zhejiang University School of Medicine between May 2013 and August 2015 were retrospectively analyzed. Among them, 11 were males and 9 females, aged 23-79 years old with a median age of 57 years old. Seventeen cases underwent pancreaticoduodenectomy and 3 underwent middle segment pancreatectomy. The informed consents of all patients were obtained and the local ethical committee approval was received. Postoperative health-related quality of life of BPG patients was assessed by Chinesized health survey scales (SF-36). The SF-36 health survey data of the patients at 6 and 12 months after BPG were analyzed and compared with the data of the heathy people using t test.

Results

The role-physical, social function and role-emotional scores of the patients at 6 months after BPG were respectively 44±43, 71±22 and 43±42, significantly lower than 81±34, 83±18 and 84±32 of the heathy people (t=-3.843, -2.480, -4.370; P<0.05). The role-physical and role-emotional scores of the patients at 12 months after BPG were respectively 54±18 and 54±24, significantly lower than 81±34 and 84±32 of the heathy people (t=-2.438, -2.374; P<0.05). There were no significant differences in general health, psychological function, body pain, vitality, vital function and mental health scores between the BPG patients and healthy people (P>0.05).

Conclusions

The role-physical, social function and role-emotional of the patients at 6 month after BPG have certain changes. The life quality tends to normalization at 12 month after BPG while the role-physical and role-emotional still have certain effects. Propaganda and education should be strengthened on the psychological aspect.

表1 SF-36健康调查量表各维度分数的意义
表2 BPG患者术后6、12个月与健康人群SF-36评分比较(分,±s
[1]
Wellner UF, Kulemann B, Lapshyn H, et al. Postpancreatectomy hemorrhage--incidence, treatment, and risk factors in over 1,000 pancreatic resections[J]. J Gastrointest Surg, 2014, 18(3):464-475.
[2]
Pecorelli N, Balzano G, Capretti G, et al. Effect of surgeon volume on outcome following pancreaticoduodenectomy in a high-volume hospital[J]. J Gastrointest Surg, 2012, 16(3):518-523.
[3]
Pezzilli R, Falconi M, Zerbi A, et al. Clinical and patient-reported outcomes after pancreatoduodenectomy for different diseases: a follow-up study[J]. Pancreas, 2011, 40(6):938-945.
[4]
彭淑牖,吴育连,彭承宏,等.捆绑式胰肠吻合术(附28例报告)[J].中华外科杂志,1997,35(3):158-159.
[5]
Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial[J]. Ann Surg, 2007, 245(5):692-698.
[6]
彭淑牖,洪德飞,刘颖斌,等.捆绑式胰胃吻合术[J].中华外科杂志,2009,47(2):139-142.
[7]
Peng SY, Wang JW, Hong DF, et al. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy[J]. Updates Surg, 2011, 63(2):69-74.
[8]
康鹏程,姜兴明,万明,等.捆绑式胰胃吻合术在中段胰腺切除术中的应用价值[J].中华消化外科杂志,2015,14(11):921-924.
[9]
李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[10]
Winter JW, Cameron JL, Campbell KA, et al. 1423 pancreaticoduodenectomies for pancreatic cancer: a single-institution experience[J]. J Gastrointest Surg, 2006, 10(9):1199-1210.
[11]
Keck T, Wellner UF, Bahra M, et al Pancreatogastrostomy versus pancreatojejunostomy for reconstruction after pancreatoduodenectomy (RECOPANC, DRKS 00000767): perioperative and long-term results of a multicenter randomized controlled trial[J]. Ann Surg, 2016, 263(3):440-449.
[12]
Yang SH, Dou KF, Sharma N, et al. The methods of reconstruction of pancreatic digestive continuity after pancreaticoduodenectomy: a meta-analysis of randomized controlled trials[J]. World J Surg, 2011, 35(10):2290-2297.
[13]
Pezzilli R, Falconi M, Zerbi A, et al. Different reconstruction techniques after pancreatoduodenectomy do not affect clinical and patient reported outcomes[J]. Adv Med Sci, 2014, 59(2):151-155.
[14]
Zhou Y, Yu J, Wu L, et al. Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy on occurrences of postoperative pancreatic fistula after pancreaticoduodenectomy[J]. Asian J Surg, 2015, 38(3):155-160.
[15]
Zhang X, Ma L, Gao X, et al. Pancreaticogastrostomy versus pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: a meta-analysis of randomized controlled trials[J]. Surg Today, 2015, 45(5):585-954.
[16]
李江涛,于源泉.胰十二指肠切除术后胰漏的处理[J].肝胆外科杂志,2011,19(6): 412-414.
[17]
Ihnát P, Martínek L, Mitták M, et al. Quality of life after laparoscopic and open resection of colorectal cancer[J]. Dig Surg, 2014, 31(3):161-168.
[18]
Ali AS, Hayes MC, Birch B, et al. Health related quality of life (HRQoL) after cystectomy: comparison between orthotopic neobladder and ileal conduit diversion[J]. Eur J Surg Oncol, 2015, 41(3):295-299.
[19]
Li L, Wang HM, Shen Y. Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation[J]. J Epidemiol Community Health, 2003, 57(4):259-263.
[1] 夏传龙, 迟健, 丛强, 连杰, 崔峻, 陈彦玲. 富血小板血浆联合关节镜治疗半月板损伤的临床疗效[J]. 中华关节外科杂志(电子版), 2023, 17(06): 877-881.
[2] 陆闻青, 陈昕怡, 任雪飞. 遗传代谢病儿童肝移植受者术后生活质量调查研究[J]. 中华移植杂志(电子版), 2023, 17(05): 287-292.
[3] 李梅, 孔珊珊. Robocare护理模式联合高频胸壁振荡在腹腔镜腹壁切口疝修补术的应用[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 619-624.
[4] 王静, 庞冬, 高赫, 刘金. 护理能力与应对方式在造口患者造口影响与生活质量间的中介效应[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(04): 468-472.
[5] 彭国兵, 费建平. 影响患者永久性结肠造口的状况及因素[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(03): 264-268.
[6] 邓美云, 马兰, 胡惠惠. 双环节协同护理模式在老年腹股沟疝患者中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(03): 346-349.
[7] 谢海玲, 冯琳丽, 王燕精, 周娃梅. 呼吸运动锻炼对COPD患者呼吸肌力量、运动能力及生活质量的影响[J]. 中华肺部疾病杂志(电子版), 2023, 16(02): 269-271.
[8] 潘玥, 夏婷, 王燕, 顾娟. 肺结节患者生活质量影响因素分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(02): 272-274.
[9] 潘冰, 吕少诚, 赵昕, 李立新, 郎韧, 贺强. 淋巴结清扫数目对远端胆管癌胰十二指肠切除手术疗效的影响[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 608-612.
[10] 刘虎, 崔昭扬, 乐羿, 杨豪, 张绍庚. 胰十二指肠切除术后胰管支架管致肝脓肿一例并文献复习[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 444-448.
[11] 李扬, 史亚波, 涂建华, 黄长文. 胰十二指肠切除术后胰瘘发生的危险因素及预防[J]. 中华肝脏外科手术学电子杂志, 2023, 12(03): 352-355.
[12] 李杰, 任加强, 马坚, 王铮, 马清涌, 仵正. 血栓弹力图测定对远端胆管癌胰十二指肠切除术后出血的预测价值[J]. 中华肝脏外科手术学电子杂志, 2023, 12(02): 211-215.
[13] 陈显金, 吴芹芹, 何长春, 张庆华. 利用多模态医学数据和机器学习构建脑出血预后预测模型的研究[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(04): 193-198.
[14] 孙晗, 武侠. 成人肠易激综合征患者肠道菌群特征与不同分型患者生活质量和精神症状的相关性[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 461-465.
[15] 王小娜, 谭微, 李悦, 姜文艳. 预测性护理对结直肠癌根治术患者围手术期生活质量、情绪及并发症的影响[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 525-529.
阅读次数
全文


摘要