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[胆囊切除术前与术后的主诉]

[Complaints before and after cholecystectomy].

作者信息

Aspevik Ranveig K, Irtun Øivind

机构信息

Kirurgisk avdeling, Helgelandssykehuset Mo i Rana, 8607 Mo i Rana.

出版信息

Tidsskr Nor Laegeforen. 2005 May 19;125(10):1333-5.

Abstract

BACKGROUND

It may be difficult to decide whether a patient's discomfort is related to known gallbladder stones.

MATERIAL AND METHODS

A questionnaire regarding pre- and postoperative complaints and satisfaction with treatment was sent to 211 patients a median 51 months after they had undergone cholecystectomy at Rana district hospital during the May 1993 to March 2001 period.

RESULTS

97% of the patients returned our questionnaire. 80% had experienced sudden bursts of pain; in 91% of them the pain was relieved. 71% reported no complaints after cholecystectomy, 26% still had some discomfort after the operation. Two thirds of these had experienced discomfort for several years. 22% reported new or different symptoms. After surgery our patients reported a significant reduction in symptoms like sudden pain, constant pain, nausea/vomiting and bloating. 94% were very satisfied or satisfied with the outcome; 1% regretted having undergone the procedure.

INTERPRETATION

Sudden attacks of pain are likely to be relieved after cholecystectomy. Our patients also experienced a number of different types of discomfort both before and after the cholecystectomy. Similar complaints also are reported by persons without gallstones, hence it is difficult to interpret the relief or worsening of these symptoms in relation to the cholecystectomy.

摘要

背景

判断患者的不适是否与已知的胆囊结石有关可能存在困难。

材料与方法

在1993年5月至2001年3月期间,在拉纳地区医院接受胆囊切除术后中位时间51个月,向211名患者发送了一份关于术前和术后不适及对治疗满意度的问卷。

结果

97%的患者回复了我们的问卷。80%的患者经历过突发疼痛;其中91%的患者疼痛得到缓解。71%的患者报告胆囊切除术后无不适,26%的患者术后仍有一些不适。其中三分之二的患者经历不适已有数年。22%的患者报告出现了新的或不同的症状。术后,我们的患者报告突发疼痛、持续性疼痛、恶心/呕吐和腹胀等症状显著减轻。94%的患者对结果非常满意或满意;1%的患者后悔接受了该手术。

解读

胆囊切除术后突发疼痛可能会得到缓解。我们的患者在胆囊切除术前和术后也经历了多种不同类型的不适。没有胆结石的人也报告有类似的不适,因此很难解释这些症状的缓解或加重与胆囊切除术的关系。

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