Noguchi Y, Baba M, Nakano S, Fukumoto T, Yoshinaka H, Aikou T, Shimazu H
First Department of Surgery, Kagoshima University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1991 Mar;92(3):281-7.
Quality of life of 79 patients who underwent esophagectomy for esophageal cancer and survived more than one year was evaluated by a questionnaire method. About 90% of patients had a good appetite, taking ordinary solid foods, and 69% were satisfied with the daily amount of foods. About 40% of patients complained of passage disturbance on swallowing, abdominal pain or diarrhea after meal. Fifty seven per cent of patients had frequent episodes of cough and sputum, and 20% were not able to go up the stairs to the third floor because of short breath. Thirty two per cent of patients with recurrent nerve paresis and even 5% without paresis had a trouble in daily conversation. These physical distresses were thought to be useful indicators for the doctor to evaluate the quality of life of patients. Additionally, about 30% of patients had a tendency of mental depression postoperatively. Fifty six per cent of patients who had worked before operation returned to work or were doing a lighter work than before. The psychological factor and social rehabilitation were suggested to be very important, when evaluated from the patient's side. Especially in case of aggressive surgery for esophageal cancer, postoperative quality of life of patients should be carefully considered from the viewpoints of both the patient and doctor.
采用问卷调查法对79例接受食管癌切除术且存活超过1年的患者的生活质量进行了评估。约90%的患者食欲良好，能进食普通固体食物，69%的患者对每日食物量感到满意。约40%的患者主诉吞咽时有通过障碍、腹痛或餐后腹泻。57%的患者经常咳嗽咳痰，20%的患者因气短无法爬楼梯到三楼。32%的喉返神经麻痹患者甚至5%无麻痹的患者在日常交谈中有困难。这些身体不适被认为是医生评估患者生活质量的有用指标。此外，约30%的患者术后有精神抑郁倾向。56%术前工作的患者恢复工作或从事比以前更轻松的工作。从患者的角度评估，心理因素和社会康复被认为非常重要。特别是在食管癌的积极手术中，应从患者和医生的角度仔细考虑患者的术后生活质量。
