全喉切除术和咽喉切除术患者的吞咽和生活质量。
Swallowing and quality of life after total laryngectomy and pharyngolaryngectomy.
机构信息
Graduate Program in Health Sciences - Hospital Heliópolis - HOSPHEL, São Paulo, Brazil.
出版信息
Braz J Otorhinolaryngol. 2009 Jul-Aug;75(4):556-64. doi: 10.1016/S1808-8694(15)30496-1.
UNLABELLED
Dysphagia can be a consequence of total laryngectomy even in the absence of symptoms and it could indeed directly or indirectly compromise quality of life.
AIM
To evaluate the characteristics of swallowing after total laryngectomy and pharyngolaryngectomy with pharyngeal T closure, correlating them with the Quality of Life in Swallowing Disorders questionnaire.
METHODS
A prospective evaluation was performed in 28 patients; fifteen undergoing total laryngectomy and thirteen undergoing total pharyngolaryngectomy. Swallowing was evaluated through videofluoroscopy regarding the preparatory, oral and pharyngeal phases of swallowing, and the quality of life related to swallowing questionnaire was employed to measure quality of life.
RESULTS
Anatomical and functional changes were observed under videofluoroscopic evaluation. Dysphagia was diagnosed in 18 patients (64.3%), being mild in 66.6% and moderate/severe in 33.3%. The questionnaire indicated good quality of life in almost all scales. Complaints of dysphagia were associated to the burden (p=0.036) and mental health scale (p=0.031). The questionnaire indicated impact on the mental health scale for patients with severe dysphagia (p=0.012).
CONCLUSIONS
High incidence of dysphagia was observed in some quality of life assessments, especially of mild degree.
目的
评估全喉切除术和全咽-喉切除术伴咽腔 T 型关闭术后吞咽的特点，并与吞咽障碍生活质量问卷（SWAL-QOL）相关联。
方法
前瞻性评估 28 例患者，其中 15 例行全喉切除术，13 例行全咽-喉切除术。通过视频透视评估吞咽的准备期、口腔期和咽期，采用吞咽障碍生活质量问卷评估生活质量。
结果
在视频透视评估中观察到解剖和功能的变化。18 例（64.3%）患者诊断为吞咽困难，其中 66.6%为轻度，33.3%为中重度。问卷显示几乎所有的评分都有较好的生活质量。吞咽困难的抱怨与负担（p=0.036）和心理健康评分（p=0.031）有关。对于中重度吞咽困难的患者，问卷显示对心理健康评分有影响（p=0.012）。
结论
在一些生活质量评估中观察到吞咽困难的发生率较高，尤其是轻度吞咽困难。
Zotero 插件