Zahlten-Hinguranage A, Bernd L, Ewerbeck V, Sabo D
Department of Orthopaedic Surgery, University of Heidelberg, Germany.
Br J Cancer. 2004 Sep 13;91(6):1012-4. doi: 10.1038/sj.bjc.6602104.
This study investigated quality of life (QoL) and function of 124 patients with lower extremity sarcoma who underwent either amputation or limb-salvage surgery (LSS) in order to assess potential differences in subjective treatment outcome. The results reflect similar QoL in both treatment groups. However, in contrast to patients with LSS, who described QoL in terms of a high physical performance status with sports and recreational activities, amputees' QoL was strongly associated with their social acceptability. High QoL in amputees brings into question the expectations held with time-consuming advanced technical skills for LSS by physicians.
本研究调查了124例接受截肢或保肢手术(LSS)的下肢肉瘤患者的生活质量(QoL)和功能,以评估主观治疗结果的潜在差异。结果显示,两个治疗组的生活质量相似。然而,与保肢手术患者将生活质量描述为具有较高的体育和娱乐活动身体表现状态不同,截肢患者的生活质量与其社会接受度密切相关。截肢患者的高生活质量使医生对耗时的保肢手术先进技术技能的期望受到质疑。