The long-term health-related quality of life in patients operated for choledochal cyst
The long-term health-related quality of life in patients operated for choledochal cyst
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DOI：
10.1007/s00383-019-04456-7
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发表时间：
2019-05-01
影响因子：
1.8
通讯作者：
Ieiri, Satoshi
中科院分区：
文献类型：
--
作者：
Baba, Tokuro;Mukai, Motoi;Ieiri, Satoshi
目的胆总管囊肿（CC）术后晚期并发症是影响患者生活质量的重要问题。我们评估了术后并发症和健康相关的生活质量（HRQOL）的CC patients 18 years of age.MethodsFrom 1984年4月至2018年1月，114 CC患者在我们的机构进行了明确的手术。79名患者达到18岁。使用SF-36 v2的日文版本评估HRQOL。八个健康领域（身体功能，角色，身体疼痛，一般健康，角色，情绪，活力，心理健康和社会功能）评分和三个组成部分的总结[身体组成部分总结，心理组成部分总结（MCS），和角色，社会组成部分总结]评分进行了比较，并与无并发症的患者（C [+]与C [-]）。12例患者出现术后并发症。在8个领域中，C [+]患者的一般健康评分显著低于C [-]患者（p=0.0488）。在三个分量表中，C [+]患者的MCS评分低于C [-]患者，但无显著性差异（p=0.0953）。然而，术后并发症会损害患者的幸福感，影响心理健康。
PurposeLate postoperative complications in choledochal cyst (CC) patients are severe problems that affect the quality of life (QOL). We evaluated the postoperative complications and health-related QOL (HRQOL) of CC patients 18years of age.MethodsFrom April 1984 to January 2018, 114 CC patients underwent definitive surgery at our institution. Seventy-nine patients reached 18years of age. The HRQOL was assessed using the Japanese version of the SF-36v2. Eight health domain (physical functioning, role-physical, body pain, general health, role-emotional, vitality, mental health, and social functioning) scores and three component summary [physical component summary, mental component summary (MCS), and role-social component summary] scores were compared between the patients with and without complications (C [+] vs. C [-]).ResultsThirty-five patients answered the questionnaires. Twelve patients had postoperative complications. Among the eight domains, the score of general health was significantly lower in C [+] patients than in C [-] patients (p=0.0488). Among the three component scores, the MCS score in C [+] patients was lower than in C [-] patients without significance (p=0.0953).ConclusionsThe HRQOL of CC patients 18years of age was mostly acceptable. However, postoperative complications can impair the sense of well-being and affect the mental health.