Introducere. Odată cu progresele medicinei care au determinat îmbunătăţirea asistenţei medicale şi a rezultatului terapeutic, creșterea calităţii vieţii a devenit un deziderat major, cu contribuţie importantă în elaborarea deciziei terapeutice. Scopul. Studiul aspectelor calității vieții și defi nirea caracteristicelor ei dinamice în raport cu gestul terapeutic aplicat. Material şi metode. A fost realizat un studiu clinic-sociologic bidirecțional, pe o perioadă de 11 ani, care a evaluat impactul chirurgical asupra calității vieții la 97 de pacienți, diagnosticați cu ciroză hepatică. Cercetarea s-a desfășurat la Catedra de chirurgie nr. 2 și la Departamentul de chirurgie hepatobiliopancreatică a Spitalului Clinic Republican în perioada 20052016. Pacienții încadrați în studiu au benefi ciat de tratament chirurgical programat, selectiv. Calitatea vieții a fost evaluată cu ajutorul chestionarelor SF-36 și SF-LDQOL. Rezultate. Postoperator, bolnavii cu ciroză hepatică și hipertensiune portală asociată (89%), au remarcat o îmbunătățire semnifi cativă a calității vieții atât față de lotul martor (p≤0,002), cât și comparativ cu etapa preoperatorie (p≤0,001). De remarcat, la toți pacienții operați, în primul an după intervenție, calitatea vieții s-a ameliorat în cotare moderată/bună la 78,9% dintre pacienți. Сoncluzii: Testarea CV cu ajutorul chestionarului specific SF-LDQOL oferă o imagine mai clară şi cuantifi cabilă, scopul fiind cel curativ.

With advances in medicine that have led to improvements in medical care and therapeutic outcome, increasing quality of life has become a major desideratum, with an important contribution to the development of the therapeutic decision. Purpose. The study of the aspects of the quality of life and the definition of its dynamic characteristics in relation to the applied therapeutic gesture requires. Materials and methods. It has been realized a bidirectional clinical trial for a period of 11 years, which evaluated the surgical impact on the quality of life of 97 patients, diagnosed with hepatic cirrhosis. The research took place at Surgery nr2 department, hepatobiliopancreatic surgery department of the Republican Hospital in 2005-2016 period.The patients in the study, benefited of selective,scheduled surgical treatment. The quality of life was assessed using the SF-36 and SF-LDQOL questionnaires. Results. Postoperatively, patients with liver cirrhosis and associated portal hypertension (89%) noted a significant improvement in the quality of life in both the control group (p≤0,002) and the preoperative stage (p≤0,001). Remarkable, all the operated patients, in the first year after the intervention, the quality of life improved in moderate / good quantification in 78.9% of patients.

With advances in medicine that have led to improvements in medical care and therapeutic outcome, increasing quality of life has become a major desideratum, with an important contribution to the development of the therapeutic decision. Purpose. The study of the aspects of the quality of life and the definition of its dynamic characteristics in relation to the applied therapeutic gesture requires. Materials and methods. It has been realized a bidirectional clinical trial for a period of 11 years, which evaluated the surgical impact on the quality of life of 97 patients, diagnosed with hepatic cirrhosis. The research took place at Surgery nr2 department, hepatobiliopancreatic surgery department of the Republican Hospital in 2005-2016 period.The patients in the study, benefited of selective,scheduled surgical treatment. The quality of life was assessed using the SF-36 and SF-LDQOL questionnaires. Results. Postoperatively, patients with liver cirrhosis and associated portal hypertension (89%) noted a significant improvement in the quality of life in both the control group (p≤0,002) and the preoperative stage (p≤0,001). Remarkable, all the operated patients, in the first year after the intervention, the quality of life improved in moderate / good quantification in 78.9% of patients.

Улучшение качества жизни хирургических больных является важным компонентом, позволяющим оценить результаты выполненных операций. Цель. Изучить качество жизни и характеризовать её послеоперационную динамику. Материал и методы. В ходе ретроспективного исследования у 97% больных циррозом печени было проанализировано их качество жизни при помощи опросника SF-LDQOL. Результаты. Анализ данных выявил улучшение качества жизни у 89% оперированных больных циррозом печени. Выводы. Найдена закономерность, согласно которой изучение качества жизни является хорошим тестом и прогностическим показателем эффективности хирургического лечения.