Head and Neck Unit, Royal Marsden Hospital, London, UK.
Dysphagia. 2012 Dec;27(4):491-7. doi: 10.1007/s00455-012-9395-z. Epub 2012 Feb 21.
This work aimed at evaluating patients' swallowing functions by a newly validated swallow-specific questionnaire, the Sydney Swallow Questionnaire (SSQ), in a cohort of oral and oropharyngeal cancer patients. Mean/median SSQ scores were calculated and compared with study variables using the Mann-Whitney U test and Kruskal-Wallis test. The mean composite SSQ scores (SD) for the base of tongue, oral tongue, and tonsillar cancer patients were 663.8 (382.8), 456.2 (407.6), and 283.0 (243.1), respectively (p = 0.005); for advanced vs. early T stage disease they were 918.1 (319.5) vs. 344.8 (292.1) (p ≤ 0.001); for patients <60 years vs. ≥60 years they were 549.3 (415.1) vs. 314.0 (247.3) (p = 0.02); and for patients with reconstruction vs. without reconstruction they were 676.5 (410.5) vs. 331.9 (286.5) (p = 0.002). SSQ is a useful tool for evaluation of swallowing in head and neck cancer patients. Site of cancer, T stage, patient's age, and reconstruction directly affect post-treatment swallow outcome.
本研究旨在通过一种新的经验证的吞咽特异性问卷——悉尼吞咽问卷（SSQ）评估口腔和口咽癌患者的吞咽功能。计算平均/中位数 SSQ 评分，并使用 Mann-Whitney U 检验和 Kruskal-Wallis 检验将其与研究变量进行比较。舌根、口腔舌和扁桃体癌患者的平均综合 SSQ 评分（SD）分别为 663.8（382.8）、456.2（407.6）和 283.0（243.1）（p=0.005）；对于 T 分期较晚和较早的患者，分别为 918.1（319.5）和 344.8（292.1）（p≤0.001）；对于年龄<60 岁和≥60 岁的患者，分别为 549.3（415.1）和 314.0（247.3）（p=0.02）；对于接受重建和未接受重建的患者，分别为 676.5（410.5）和 331.9（286.5）（p=0.002）。SSQ 是评估头颈部癌症患者吞咽功能的有用工具。癌症部位、T 分期、患者年龄和重建术直接影响治疗后吞咽功能的结果。
