Lindl M, Haderlein T, Grässel E, Maier A, Ströbele A, Bohr C, Schuster M
Abteilung für Phoniatrie und Pädaudiologie, Universitätsklinikum Erlangen, Erlangen, Germany.
Laryngorhinootologie. 2012 Aug;91(8):494-9. doi: 10.1055/s-0031-1279734. Epub 2011 Oct 20.
The assessment of the treatment results of laryngeal cancer includes subjective aspects. Two tools for assessment of the quality of life of patients after treatment of small laryngeal carcinoma were compared: The disease-unspecific short-form-36 health-survey (SF-36) and the specific voice-related-quality-of-life-questionnaire (V-RQOL).
Data of 65 patients after partial laryngeal resection was evaluated during regular out clinic examinations.
The average V-RQOL total score was 70,0 ± 24,3. Similar results were achieved for the physically (68,2 ± 24,3) and for the emotional (72,5 ± 27,6) subscores of the V-RQOL-survey being lower than the cut-off for healthy voices, which is at 80 points. The SF-36-health survey score was 43,0 ± 10,7 for the physically subscore and 50,2 ± 9,1 for the emotional subscore. Both subscores were rated worse than the age-adjusted standard value for the SF-36. There is a moderate correlation between both questionnaires, which does not depend from the size of the laryngeal carcinoma (T1 or T2).
The voice-related quality of life is part of the health-related quality of life next to other factors. An amelioration of voice-related quality of life thus should lead to better general, health-related quality of life.
喉癌治疗结果的评估包括主观方面。比较了两种评估小喉癌患者治疗后生活质量的工具：非疾病特异性的简短健康调查问卷36项（SF - 36）和特定的与嗓音相关的生活质量问卷（V - RQOL）。
在定期门诊检查期间对65例部分喉切除术后患者的数据进行了评估。
V - RQOL总评分平均为70.0±24.3。V - RQOL调查的身体（68.2±24.3）和情感（72.5±27.6）子评分也得到了类似结果，均低于健康嗓音的临界值80分。SF - 36健康调查的身体子评分为43.0±10.7，情感子评分为50.2±9.1。两个子评分均低于SF - 36的年龄校正标准值。两份问卷之间存在中度相关性，且不取决于喉癌的大小（T1或T2）。
除其他因素外，与嗓音相关的生活质量是健康相关生活质量的一部分。因此，改善与嗓音相关的生活质量应能带来更好的总体健康相关生活质量。
