腋下小切口胸部肿瘤切除术后生活质量的研究  

Quality of life in patients with chest tumor resection through limited axillary thoracotomy

作　　者：谢晓阳[1] 王毅[1] 易军[1] 罗雷[1] 李晓亮[1] 

机构地区：[1]四川省内江市第一人民医院胸心外科,四川内江641000

出　　处：《实用医院临床杂志》2017年第6期182-184,共3页Practical Journal of Clinical Medicine

基　　金：内江市科技局科技计划项目(编号:2016028)

摘　　要：目的探讨腋下小切口肺部肿瘤切除术患者术后生命质量情况。方法 90例胸部肿瘤患者分为三组,分别采取腋下小切口切除术、传统开胸手术和胸腔镜辅助手术,采用质量核心问卷量表(QLQ-C30)及其补充量表(QLQ-LC13)分别在术前3天及术后3天、12周、24周对患者的生活质量进行评价。结果与传统开胸手术组比较,腋下小切口手术组患者的手术切口长度、携带引流时间、住院时间明显较短,术后24 h引流量明显较少(P<0.05)。术后3天、12周、24周,各组的生命质量情况均逐渐好转,胸腔镜手术组和腋下小切口手术组的总体QOL、躯体功能、社会功能、情绪功能、疼痛等生命质量指标评分均显著优于传统开胸手术组(P<0.05),腋下小切口手术组的生命质量评分与胸腔镜手术组差异无统计学意义(P>0.05);三组术后并发症发生率差异无统计学意义(P>0.05)。结论腋下小切口手术切除胸部肿瘤术后患者生命质量与胸腔镜手术组患者相当,显著优于传统开胸手术,且操作简单,值得临床推广。Objective To explore the quality of life （QOL） in patients with thoracic neoplasms after limited axillary thoracotomy. Methods Ninety patients with thoracic neoplasms were divided into 3 groups treated with traditional thoracotomy,limited axillary thoracotomy and video-assisted thoracoscopic surgery, respectively. The patients＇ quality of life was evaluated on 3 days before and 3 days, 12 weeks and 24 weeks after operation by using the Quality of Life-Core 30 Questionnaire （QLQ-C30） and Quality of Life-Lung Cancer 13 Questionnaire （ QLQ-LC13 ）. Results Compared with the traditional thoracotomy group,the incision length,time of carrying drainage tube, hospitalization time and postoperative 24 h-flow in the limited axillary thoracotomy group were significantly smaller, shorter and fewer （P 〈 0. 05 ）. The QOL of the 3 groups were gradually improved after operation. The overall QOL, physical function, social function, emotional function and pain score in the limited axiUary thoracotomy group were better than that in the traditional thoracotomy group （ P 〈 0. 05 ）. There was no statistically significant difference in QOL score between the limited axillary thoracotomy group and the video-assisted thoracoscopic surgery group （ P 〉 0. 05 ）. The incidence of postoperative Complications among the 3 groups had no statistically significant difference （P 〉 0. 05）. Conclusion The limited axillary thoracotomy has similar effective to video-assisted thoracoscopic surgery, and better than traditional thoracotomy in quality of life of patients with thoracic neoplasms because of its simple operation and low price. It is worth of clinical promotion.

关 键 词：胸部肿瘤 腋下小切口手术 生活质量 

分 类 号：R655[医药卫生—外科学]