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头颈部癌的外科治疗

Surgical management of head and neck carcinoma.

作者信息

Scarpa Raymond

机构信息

Department of Surgery, Division of Otolaryngology, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.

出版信息

Semin Oncol Nurs. 2009 Aug;25(3):172-82. doi: 10.1016/j.soncn.2009.05.007.

Abstract

OBJECTIVES

To describe surgical approaches to the management of head and neck cancers and discuss postoperative management and challenges in rehabilitation of patients with head and neck cancer.

DATA SOURCES

Peer reviewed journals, reference books, research studies.

CONCLUSION

Surgical management of tumors in the head and neck is complex and challenging. It is influenced by tumor size, location, previous treatment, and histopathology. Technologic advances have led to better preoperative planning, improved intraoperative interventions, decreased postoperative functional defects, and extended survival in select cases.

IMPLICATIONS FOR NURSING PRACTICE

A multidisciplinary oncology team approach to care is essential to successful outcomes. Basic survival skills such as breathing, eating, and communicating are all subject to compromise as a result of the disease process and treatment.

摘要

目的

描述头颈部癌症治疗的手术方法,并讨论头颈部癌症患者的术后管理及康复挑战。

数据来源

同行评审期刊、参考书、研究性研究。

结论

头颈部肿瘤的手术治疗复杂且具有挑战性。它受肿瘤大小、位置、既往治疗及组织病理学影响。技术进步已带来更好的术前规划、改进的术中干预、减少的术后功能缺陷,并在特定病例中延长了生存期。

对护理实践的启示

多学科肿瘤护理团队方法对于取得成功结果至关重要。诸如呼吸、进食和沟通等基本生存技能都会因疾病进程和治疗而受到影响。

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