Baumann Ingo, Polligkeit Joachim, Blumenstock Gunnar, Mauz Paul-Stefan, Zalaman Ilse M, Maassen Marcus M
Department of Otolaryngology, Head & Neck Surgery, University of Tübingen, Tübingen, Germany.
Acta Otolaryngol. 2005 Jun;125(6):585-91. doi: 10.1080/00016480510026935.
Patients with acoustic neuroma experienced reduced quality of life (QOL) after surgery. Individual factors did not have a significant effect on QOL. In the future, QOL should be a basic factor in the outcome evaluation of different therapeutic regimens in the treatment of acoustic neuroma.
To measure the QOL of patients who underwent unilateral acoustic neuroma surgery via the middle cranial fossa approach.
The Short Form-36 (SF-36) Health Survey and a self-designed disease-specific questionnaire were used during follow-up examinations to assess health-related QOL. The pure-tone average was used to specify hearing ability. Facial nerve function was described using the House-Brackmann grading system. A total of 28 male and 14 female patients who underwent surgery between 1997 and 2001 were included in the study.
Patients' QOL scores revealed significant reductions in QOL in comparison to normative German QOL data. Gender, age, tumor size or location and clinical symptoms such as hearing loss and restricted facial nerve function did not have an effect on QOL. The SF-36 scales physical functioning, role functioning-physical, bodily pain, general health, social functioning and role functioning-emotional demonstrated significant QOL reductions.
听神经瘤患者术后生活质量（QOL）下降。个体因素对生活质量没有显著影响。未来，生活质量应成为听神经瘤不同治疗方案疗效评估的一个基本因素。
测量经中颅窝入路接受单侧听神经瘤手术患者的生活质量。
在随访检查期间，使用简短健康调查问卷36项简表（SF-36）和自行设计的疾病特异性问卷来评估与健康相关的生活质量。用纯音平均听阈来明确听力情况。采用House-Brackmann分级系统描述面神经功能。本研究纳入了1997年至2001年间接受手术的28例男性和14例女性患者。
与德国生活质量标准数据相比，患者的生活质量评分显示生活质量显著下降。性别、年龄、肿瘤大小或位置以及听力丧失和面神经功能受限等临床症状对生活质量没有影响。SF-36量表中的身体功能、身体角色功能、身体疼痛、总体健康、社会功能和情感角色功能显示生活质量显著下降。
