头皮恶性肿瘤的回顾性分析及生活质量评估  

Retrospective Analysis and Quality of life Assessment in Malignant Scalp Tumors

作　　者：李羿廷 闫焦 王继华[1] LI Yi-ting;YAN Jiao;WANG Ji-hua(Dept.of Plastic Surgery,The 2nd Hospital Affiliated of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院整形外科

出　　处：《昆明医科大学学报》2019年第10期95-100,共6页Journal of Kunming Medical University

基　　金：云南省科技厅基础研究计划基金资助项目（2018FE001）

摘　　要：目的分析头皮恶性肿瘤患者的临床特点及切除后最佳的修复方式,探讨不同修复方法对患者的术后生活质量的影响。方法对2013年10月至2018年06月昆明医科大学第二附属医院整形外科收治98例头皮恶性肿瘤患者的临床和病理资料进行统计与分析,通过简明健康状况调查问卷(SF-36)以及门诊复诊进行生活质量调查。统计学资料均使用SPSS18.0软件进行分析计算,检验标准(α=0.05),P<0.05时认为数据之间差异有统计学意义。结果近5a来昆明医科大学第二附属医院整形外科收治的头皮恶性肿瘤共计有98例(术后病理检查证实为恶性肿瘤)。年龄最小为18岁,最大的为86岁,平均年龄(59.26±16.89)岁,采用传统手术切除修复,并同时对患者进行术后生活质量调查,差异有统计学意义(P<0.05)。结论目前手术仍然是治疗头皮恶性肿瘤主要手段,应根据患者的年龄、性别、病变具体情况及术后组织缺损程度来选择合适的修复方法。大部分患者均能在病变较小及侵犯深度较浅时得到合适的治疗。根据生活质量调查显示,病变越小,侵犯的深度越浅,所需的手术治疗方式越简单,术后的生活质量越好;而对于病变复杂,已经累及颅骨及颅内组织的患者,通过彻底的手术治疗后也能大幅度的提升患者的生活质量。Objective To summarize and analyze the clinical characteristics of patients with scalp malignant tumor and the best repair method after resection, and to explore the influence of different repair methods on the postoperative quality of life of patients.Methods The clinical and pathological data of 98 patients with scalp malignancies admitted to our hospital from October 2013 to June 2018 were statistically analyzed. The questionnaire was conducted using the MOST item short form health survey (SF-36). Statistical data were analyzed and calculated using SPSS 18.0 software. The test standard (=0.05), P < 0.05 was considered statistically significant. Results In the past 5 years, a total of 98 cases of scalp malignant tumors were admitted to our department (confirmed by postoperative pathological examination as malignant tumors). The youngest was 18 years old, the oldest was 86 years old, the average age was (59.26±16.89) years old. Meanwhile, the postoperative quality of life was investigated, all data were incorporated into SPSS and performed paired T test, P < 0.05,and the results were statistically significant. Conclusion At present, surgery is still the main treatment of malignant scalp tumors. The appropriate repair methods were chosen in accordance with the age and gender of the patients and the specific conditions of postoperative tissue defects. Most patients can get appropriate treatment when the lesion is small and the invasion depth is shallow. The quality of life survey results suggest that the smaller the lesion area, the shallower the depth of invasion, the simpler the surgical treatment required, and the better the quality of life after surgery. Meanwhil, for patients with complex lesions that have involved the skull and intracranial tissues,the quality of life of patients can be significantly improved after thorough surgical treatment.

关 键 词：头皮恶性肿瘤 鳞状细胞癌 基底细胞癌 回顾性分析 头皮缺损修复 生活质量调查 

分 类 号：R739.91[医药卫生—肿瘤]