PERSISTING PAIN AFTER CHOLECYSTECTOMY - A PROSPECTIVE INVESTIGATION
PERSISTING PAIN AFTER CHOLECYSTECTOMY - A PROSPECTIVE INVESTIGATION
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DOI：
10.3109/00365529108996493
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发表时间：
1991-01-01
影响因子：
1.9
通讯作者：
THORVALDSEN, P
中科院分区：
文献类型：
--
作者：
JORGENSEN, T;TEGLBJERG, JS;THORVALDSEN, P
在研究本身不影响术前决策或手术操作的情况下，对胆囊切除术后的短期结局进行了前瞻性调查。在122例连续患者中，115例可评价。在所有病例中，术前均通过口服胆囊造影或超声检查证实胆结石。术后随访6-12个月。91例患者（79.1%）报告了术前症状完全缓解的满意结局。年龄、性别、术前疼痛特征、病史、手术类型、组织学和并发症不能预测手术结果。术前数据项目中包括精神脆弱性测试。无论上述因素如何，精神脆弱性与持续疼痛显著相关。这表明心理因素影响胆囊切除术后疼痛缓解的结果。
A prospective survey of the short-term outcome after cholecystectomy was carried out under circumstances in which the study itself did not influence preoperative decision making or surgical procedures. Of 122 consecutive patients, 115 were evaluable. In all cases gallstones were verified preoperatively either by oral cholecystography or by ultrasonography. Follow-up study was 6-12 months post-operatively. Ninety-one patients (79.1%) reported satisfactory outcome in terms of complete relief of preoperative symptoms. Age, sex, preoperative pain characteristics, history of disease, type of surgery, histology, and complications did not predict the surgical outcome. A test for psychic vulnerability was included among preoperative data items. Psychic vulnerability was significantly associated with persisting pain irrespective of the above-mentioned factors. This suggests that psychologic factors influence the outcome after cholecystectomy with regard to pain relief.