喉癌患者改良额侧位喉部分切除喉功能重建术后的生存质量分析

发布时间：2018-04-12 13:24

本文选题：喉癌 + 喉部分切除　；参考：《江苏医药》2014年21期

【摘要】：目的探讨改良额侧位喉部分喉功能重建切除术对喉癌患者生存质量的影响。方法42例喉癌患者分别接受改良额侧位喉部分切除术(A组,24例)和喉垂直部分切除术(B组,18例)。采用欧洲癌症调查治疗组织生存质量核心调查表(EORTC QLQ-C30)及头颈癌症生存质量特异性模块(EORTC QLQ-HN35)对两组患者术后的生存质量进行评估。结果术后15d,A组在角色功能、情绪功能、社会功能、疲乏、疼痛、感觉问题、语言问题、社交进食、社会关系、咳嗽、胃管留置和体重下降方面得分均优于B组(P0.05);术后3个月时两组生存质量评分渐渐趋于一致,至术后12个月时,A组仅社会关系1项得分优于B组(P0.05)。结论与喉垂直部分切除术比较,改良额侧位喉部分切除喉功能重建术后喉癌患者近期生存质量明显提高。
[Abstract]:Objective to investigate the effect of modified partial laryngectomy on quality of life (QOL) in patients with laryngeal carcinoma.Methods Forty-two patients with laryngeal carcinoma were treated with modified partial frontal laryngectomy (n = 24) and perpendicular laryngectomy group B (n = 18).The quality of life (QOL) was evaluated by EORTC QLQ-C30 and EORTC QLQ-HN35.Results on the 15th day after operation, group A was involved in role function, emotional function, social function, fatigue, pain, sensory problems, language problems, social eating, social relations, cough, and so on.The scores of gastric tube indwelling and weight loss in group B were better than those in group B (P 0.05), and the scores of quality of life in group A gradually converged at 3 months after operation, and only one item of social relationship in group A was better than that in group B at 12 months after operation (P 0.05).Conclusion compared with perpendicular laryngectomy, the quality of life of patients with laryngeal carcinoma after partial laryngectomy with modified frontal lateral laryngectomy is significantly improved.
【作者单位】：南通大学附属医院耳鼻咽喉科;盐城市第一人民医院耳鼻咽喉科;
【分类号】：R739.65

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