本文關鍵詞：頭頸腫瘤與外科治療對患者生存質量的影響，由筆耕文化傳播整理發(fā)布。

頭頸腫瘤與外科治療對患者生存質量的影響分析

The Efficiency Analysis of Surgical Th erapy Impact on Patient Life Quality in Different Subtype head and Neck cancre Patient Groups

[1]

Yan BinCheng （Department of otolaryngology head and neck surgery, Zigong first people＇s hospital , Zigong 643000）

自貢市第一人民醫(yī)院耳鼻咽喉頭頸外科,四川自貢643000

文章摘要：目的：探討頭頸腫瘤與外科治療對患者生存質量的影響。方法：本次共選擇50例頭頸腫瘤患者作研究對象，均為我院2012年9月～2013年9月收治，分析不同病變類型及外科治療方式對生存質量的影響。結果：舌癌PSS～HN平均分明顯低于鼻咽癌、喉癌（ P＜0．05），，但3種不同部分頭頸腫瘤在PACT-H＆N平均分比較上，無明顯差異（ P＞0．05）。術前PSS-HN評分267．7分，術后1個月為164．7分，有明顯下降（P＜0．05）。術前FACT-H＆N為114．4分，術后1個月為92．6分，有統(tǒng)計學意義（P＜0．05）。術后6個月，喉部分切除術PACT-H＆N評分高于全切術，舌癌直接拉攏縫合高于舌癌前臂游離皮瓣修復，有統(tǒng)計學差異（P＜0．05）。結論：依據(jù)頭頸腫瘤不同部位、類型，對手術和修復方案進行個體化選擇，可顯著提高生存質量。

Abstr：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.

文章關鍵詞：

Keyword：:Head and neck cancer Surgical therapy Life quality Impact on

  本文關鍵詞：頭頸腫瘤與外科治療對患者生存質量的影響，由筆耕文化傳播整理發(fā)布。