喉环状软骨上部分切除术后患者生活质量评估  

Evaluation of patients’s quality of life after supracricoid partial laryngectomy for laryngeal cancer

作　　者：黄素红[1] 关中[2] 彭解人[2] 江远仕[1] 李清明 徐志坚[2] 

机构地区：[1]深圳市第四人民医院耳鼻咽喉头颈外科,广东深圳518033 [2]中山大学第二附属医院耳鼻咽喉头颈外科,广东广州510120

出　　处：《中国耳鼻咽喉头颈外科》2011年第10期513-515,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：国家自然科学基金资助项目(30873009)

摘　　要：目的评估喉环状软骨上部分切除术后患者的生活质量及其影响因素。方法分析44例患者生存率,采用生存质量表(UW-QOL)、头颈肿瘤患者行为状态量表(PSS-HN)、表现状态量表(KPS)联合评估其生活质量和分析影响因素。结果 44例喉癌患者3年生存率为86.3%,早、晚期喉癌患者3年生存率分别为95.8%和77.8%。拔管率为97.7%,平均拔气管套管时间11 d,平均拔胃管时间9 d。患者UW-QOL平均得分1150.1±62.6,PSS-HN平均得分278.1±31.2,KPS平均得分96.6±5.3。多元逐步回归分析显示术式和临床分期是生活质量的影响因素。结论喉环状软骨上部分切除术取得较好的肿瘤学及功能学结果,术后患者生活质量总体水平较高。OBJECTIVE To Evaluate the quality of life and its influencing factors in patients who underwent supracricoid partial laryngectomy（SCPL）.METHODS The survival rate and quality of life of 44 patients after supracricoid partial laryngectomy for laryngeal cancer was assessed,using Quality of Life Scale（QOL）,performance status scale for head and neck cancer patients（PSS-HN）and Karnofsky score（KPS）.RESULTS The mean 3-year survival rate of all the 44 patients was 86.3%,among which the 3-year survival rate of the patients with laryngeal cancer in the earlier stage and advanced stage were 95.8% and 77.8% respectively.The rate of decannulation of tracheal casing pipe was 98.2%,and the average time of decannulation was 11 days after operation.The mean time of removal of gastric tube was 9 days after operation.The average score of UW-QOL,PSS-HN and KPS was 1150.1±62.6,278.1 ±31.2 and 96.6±5.3 respectively.Multivariant gradual regressive analysis revealed that the influencing factors of quality of life included type of surgery and tumor staging.CONCLUSION SCPL could get better oncological and functional outcomes.The quality of life of patients after operation was better.

关 键 词：喉肿瘤 喉切除术 生活质量 病人依从 

分 类 号：R739.65[医药卫生—肿瘤]