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[前庭神经鞘瘤手术后的生活质量]

[Quality of life following vestibular schwannoma surgery].

作者信息

Alfonso Carolina, Lassaletta Luis, Sarriá Josefa, Gavilán Javier

机构信息

Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, España.

出版信息

Acta Otorrinolaringol Esp. 2007 Feb;58(2):61-5.

Abstract

OBJECTIVE

This study evaluates quality of life (QOL) in patients following surgery for vestibular schwannoma (VS) using the Glasgow Benefit Inventory (GBI), and a pain questionnaire.

MATERIAL AND METHOD

The questionnaires were sent to 95 patients who had undergone surgery at our institution. The impact of several factors on self-assessed QOL was also evaluated.

RESULTS

The response rate was 72 %. Considering overall QOL, 30 % patients reported that QOL became better, 56 % patients said it was worse, and in 14 % patients it remained the same. No differences in postoperative QOL were found when comparing side, gender, age, tumor size, hearing preservation, or post-operative facial function. Deterioration of postoperative QOL was less frequent in patients with vertigo and brain stem compression before surgery. Post-operative pain was associated with poorer QOL.

CONCLUSIONS

QOL becomes worse in several cases after surgery for VS. However, patients must understand that the main goal of VS surgery is to avoid life-threatening complications or death.

摘要

目的

本研究使用格拉斯哥获益量表(GBI)和一份疼痛问卷,评估前庭神经鞘瘤(VS)手术后患者的生活质量(QOL)。

材料与方法

向在我们机构接受手术的95名患者发送问卷。还评估了几个因素对自我评估的生活质量的影响。

结果

回复率为72%。考虑总体生活质量,30%的患者报告生活质量变好,56%的患者表示变差,14%的患者生活质量保持不变。比较患侧、性别、年龄、肿瘤大小、听力保留情况或术后面部功能时,未发现术后生活质量存在差异。术前有眩晕和脑干受压的患者术后生活质量恶化的情况较少见。术后疼痛与较差的生活质量相关。

结论

VS手术后,部分患者的生活质量会变差。然而,患者必须明白,VS手术的主要目标是避免危及生命的并发症或死亡。

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