喉切除患者的嗓音相关生活质量（V-RQOL）结局。
Voice-related quality of life (V-RQOL) outcomes in laryngectomees.
机构信息
Department of Otolaryngology, Division of Head & Neck Oncology and Reconstructive Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
出版信息
Head Neck. 2011 Jan;33(1):31-6. doi: 10.1002/hed.21409.
BACKGROUND
Laryngeal cancer has a significant impact on patients. This study compared the Voice-Related Quality of Life (V-RQOL) outcomes specific to 3 different postlaryngectomy voice rehabilitation methods.
METHODS
We conducted a retrospective review of 75 patients with laryngectomy from our V-RQOL questionnaire database.
RESULTS
The database included 18 electrolaryngeal speech (ELS), 15 esophageal speech (ES), and 42 tracheoesophageal speech (TES) patients. Pairwise comparisons of V-RQOL outcomes showed that TES was perceived to be better than ELS (p < .001). ES was perceived as better than ELS, but this was driven by a difference in the total and social-emotional V-RQOL scores (p < .05). There was no difference between TES and ES groups. Only ELS showed a positive correlation with time after surgery and older age.
CONCLUSIONS
Patients using TES had similar V-RQOL outcomes compared to ES and both performed significantly better than ELS. For ELS, the total V-RQOL score was better with longer time after surgery and older age.
背景
喉癌对患者有重大影响。本研究比较了 3 种不同喉切除术后语音康复方法的特定嗓音相关生活质量（V-RQOL）结果。
方法
我们对来自 V-RQOL 问卷调查数据库的 75 例喉切除术患者进行了回顾性研究。
结果
数据库包括 18 例电子喉言语（ELS）、15 例食管言语（ES）和 42 例气管食管言语（TES）患者。V-RQOL 结果的两两比较显示，TES 被认为优于 ELS（p<.001）。ES 被认为优于 ELS，但这是由于总 V-RQOL 和社会情感 V-RQOL 评分的差异（p<.05）。TES 和 ES 组之间没有差异。只有 ELS 与术后时间和年龄较大呈正相关。
结论
使用 TES 的患者与 ES 患者的 V-RQOL 结果相似，两者均明显优于 ELS。对于 ELS，术后时间较长和年龄较大的患者总 V-RQOL 评分更好。
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