Head and neck cancer Surgical therapy Life quality Impact on

  本文关键词：头颈肿瘤与外科治疗对患者生存质量的影响，由笔耕文化传播整理发布。

头颈肿瘤与外科治疗对患者生存质量的影响分析

The Efficiency Analysis of Surgical Th erapy Impact on Patient Life Quality in Different Subtype head and Neck cancre Patient Groups

[1]

Yan BinCheng （Department of otolaryngology head and neck surgery, Zigong first people＇s hospital , Zigong 643000）

自贡市第一人民医院耳鼻咽喉头颈外科,四川自贡643000

文章摘要：目的：探讨头颈肿瘤与外科治疗对患者生存质量的影响。方法：本次共选择50例头颈肿瘤患者作研究对象，均为我院2012年9月～2013年9月收治，分析不同病变类型及外科治疗方式对生存质量的影响。结果：舌癌PSS～HN平均分明显低于鼻咽癌、喉癌（ P＜0．05），，但3种不同部分头颈肿瘤在PACT-H＆N平均分比较上，无明显差异（ P＞0．05）。术前PSS-HN评分267．7分，术后1个月为164．7分，有明显下降（P＜0．05）。术前FACT-H＆N为114．4分，术后1个月为92．6分，有统计学意义（P＜0．05）。术后6个月，喉部分切除术PACT-H＆N评分高于全切术，舌癌直接拉拢缝合高于舌癌前臂游离皮瓣修复，有统计学差异（P＜0．05）。结论：依据头颈肿瘤不同部位、类型，对手术和修复方案进行个体化选择，可显著提高生存质量。

Abstr：Objective：To investigate the efficiency of surgical therapy for the patient life .Methods：A total of 50 patients with head and neck cancer were rolled in our hospital （ from 2012.9-2013.9）.Different subtype of head and neck cancer patients were treated by sur -gical therapy .Resulst ：There was significant low in the PSS -HN score among the patients with tongue cancer compared with the group of nasopharyngeal carcinoma and laryngocarcinoma （ P 〈0.05）.But there was no significantly different among the three subtype cancer in the mean score of PACT-H＆amp;N.（P〉0.05）In the term of Preoperative ,the PSS-HN score is 267.7,and FACT-H＆amp;N score is 114.4, while the score was significantly dropped to 164.7and92.6 in one month after the operation respectively （ P 〈0.05）.After the 6 month of the operation , the PACT-H＆amp;N score of the patients partial laryngectomy was higher than the all one;Samely , the the score of direct-ly sutured operation for the tongue cancer was was higher than repair of free forearm flap in tongue cancer .（P〈0.05）Conclusion：Ac-cording to the different type and location of the cancer , adapting individualized treatment options can improve the patient life quality signif -icantly.

文章关键词：

Keyword：:Head and neck cancer Surgical therapy Life quality Impact on

  本文关键词：头颈肿瘤与外科治疗对患者生存质量的影响，由笔耕文化传播整理发布。