| 引用本文： |
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冯靖,周永新,季强,等.不同手术方式对中段食管癌患者术后生活质量的影响[J].同济大学学报（医学版）,2013,34(3):86-89. [点击复制]
- FENG Jing,ZHOU Yong-xin,JI Qiang,et al.Quality of life in patients undergoing Ivor Lewis or Sweet surgery for mid-esophageal carcinoma[J].Journal of Tongji University(Medical Science),2013,34(3):86-89. [点击复制]
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| 摘要: |
| 目的研究食管中段癌患者采用Ivor lewis或Sweet术式对患者生活质量的影响。方法用EORTCQLQ C-30法,对47例采用Ivor lew is术和35例采用Sw eet术行中段食管癌切除的患者进行生命质量测评,并统计分析比较。结果Ivor lewis组和Sweet组临床资料比较,除术前近期体重降低较明显外,其余均无统计学差别。两组术后6个月后患者各项生活质量测评指标均较术后1月时有明显好转。术后1月Ivor lewis组躯体功能较差,且乏力和疼痛的症状明显(P＜0.05),而恶心、呕吐和食欲的症状显著优于sweet组(P＜0.05)。术后6月Ivor lew is组躯体功能及乏力和疼痛的症状与sw eet组比较已无明显差别(P＜0.05),而恶心、呕吐和食欲的症状仍显著优于sweet组(P＜0.05),情绪功能也优于sweet组(P＜0.05),其余指标评分两组间差异无统计学意义。结论采用Ivor lewis术式行食管中段癌切除术,在术后早期对患者躯体功能的影响较大,且乏力、疼痛的症状明显,但术后半年后已无明显差别。而Ivor lewis术式对患者术后消化道症状恢复较sweet术式好。 |
| 关键词: 食管中段肿瘤 生活质量 Ivorlewis术 sweet术 |
| DOI：10.3969/j.issn1008-0392.2013.03.021 |
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| Quality of life in patients undergoing Ivor Lewis or Sweet surgery for mid-esophageal carcinoma |
| FENG Jing,ZHOU Yong-xin,JI Qiang,XIE Shi-liang,MEI Yun-qing |
| (Dept.of Cardiothoracic Surgery,Tongji Hospital,Tongji University,Shanghai 200065,China) |
| Abstract: |
| Objective To assess quality of life（QOL） in patients undergoing Ivor Lewis or Sweet surgery for mid-esophageal carcinoma.Methods Eighty two patients with med-esophageal cancer were treated with Ivor Lewis surgery（Ivor Lewis group,n=47） or Sweet surgery（Sweet group,n=35）.QOL was evaluated with European Organization for Research and Treatment of Cancer（EORTC） QLQ C-30.Results There were no significance differences in preoperative clinical parameters between two group,except that loss of weight was more marked in Ivor Lewis group than that in Sweet group（P＜0.05）.The QOL was improved in all patients 6 months after surgery compared to 1 month after surgery.The physical function and fatigue,pain symptoms in Ivor Lewis group were worse than those in sweet group 1m after surgery（P＜0.05）,however,there was no significant difference 6 months after surgery（P＜0.05）.The scores of emotional function in Ivor Lewis group was higher than those in Sweet group（P＜0.05）;nausea,vomiting and appetite symptom in Ivor Lewis group were better than those in sweet group（P＜0.05）.There was no significant difference in other scores.Conclusion Ivor lewis surgery would affect the quality of life in the early period after surgery,but the recovery of digestive function is better than that of Sweet surgery for patients with mid-esophageal carcinoma. |
| Key words: mid-esophageal carcinoma quality of life surgery Ivor lewis sweet |
