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。
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.
出处
《中国伤残医学》
2014年第9期20-21,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
头颈肿瘤
外科治疗
生存质量
影响
Head and neck cancer
Surgical therapy
Life quality
Impact on
