摘要
目的探究Frey术与Beger术对慢性胰腺炎患者疼痛和生活质量的影响,为临床术式选择提供参考依据。方法回顾性分析本院2014年3月至2017年3月收治的124例慢性胰腺炎患者的临床资料,按照不同手术方式将入选患者分别纳入Fery组和Beger组,每组各62例。对比两组患者手术情况、并发症发生情况、术后1年疼痛缓解率和手术前后生活质量评分,分析两种术式治疗慢性胰腺炎的效果与安全性。结果两组患者手术时间、术中输血量、住院天数、术后胰瘘和切口感染发生率、术后1年疼痛缓解率、术后1年M-ANNHEIM评分比较差异均无统计学意义(均P>0.05),术后1年M-ANNHEIM评分均显著低于本组术前(均P<0.05)。结论Frey术与Beger术治疗慢性胰腺炎的效果与安全性相当,均可明显改善患者疼痛症状,提高其生活质量,在临床实践中可根据患者实际情况合理选择手术方式。
Objective To explore the effect of Frey and Beger operation on pain and quality of life in patients with chronic pancreatitis, and to summarize the basis of selection of clinical treatment. Method The clinical data of 124 patients with chronic pancreatitis admitted to our hospital from March 2014 to March 2017 were retrospectively analyzed. According to the treatment methods, they were divided into Fery group and Beger group, 62 cases in each group. The operation, complications, pain relief rate and quality of life score were compared between the two groups. The efficacy and safety of the two methods in treating chronic pancreatitis were analyzed. Result There were no significant differences in operation time, blood transfusion volume, hospital stay, the incidence of pancreatic fistula and incision infection, the pain relief rates in 1 year after operation, the M-ANNHEIM scores at 1 year after operation between the two groups (all P > 0.05), the M-ANNHEIM scores at 1 year after operation were significantly lower than those before operation of the two groups (all P < 0.05). Conclusion Frey operation and Beger operation have the same effect and safety in the treatment of chronic pancreatitis, and can significantly improve the pain and quality of life of patients. In clinical practice, they can be reasonably selected according to the actual situation of patients.
作者
刘红英
李卡
柯能文
LIU Hong-ying;LI Ka;KE Neng-wen(Pancreatic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中国医学前沿杂志（电子版）》
2019年第10期140-143,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
