在接受舌头切除术的患者口腔功能和生活质量的左右差异
Yuka Harada1, Yoshiaki Ihara2, Tomoki Tamai3
1Division of Oral Rehabilitation Medicine, Department of Oral Health Management, School of Dentistry, Showa University, Tokyo, JPN.
Cureus
|November 19, 2024
概括
在舌头癌症切除中,左右差异没有影响口腔功能,但显著影响了生活质量 (QOL). 术后护理应考虑这些质量生活问题,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 生活质量研究 研究 生命质量研究
背景情况:
- 舌癌 (TC) 治疗通常会导致口腔疾病,影响功能和生活质量 (QOL).
- 舌头切除的程度会影响口腔功能和QOL.
- 在舌头切除对口腔功能的影响方面,左右差异仍然不清楚.
研究的目的:
- 研究舌头切除中左右差异对TC患者口腔功能和QOL的影响.
- 为了比较左舌切除组与右舌切除组之间的口腔,呼吸和食功能.
- 评估手术后各个时间点的质量生活变化.
主要方法:
- 40名接受切除术 (不包括半切除术) 的TC患者被分为左 (LG) 和右 (RG) 组.
- 在基线,治疗后1,3个月和6个月评估口腔,呼吸和食功能.
- 通过使用 EORTC QLQ-C30 和 QLQ-H&N35 问卷来评估 QOL.
主要成果:
- 在LG和RG组之间,口腔,呼吸或食功能没有显著差异.
- 在3个月后,LG报告了比RG更好的吞和社交饮食质量.
- 在6个月后,LG的整体健康状况和身体功能QOL明显高于RG.
结论:
- 舌头切除的左右差异不会损害口腔功能,但会显著影响QOL.
- 术后护理策略必须解决因单方面舌头切除而产生的质量生活差异.
- 在TC治疗计划中考虑横向性可以优化患者的QOL结果.
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