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喉切除术:手术类型对生活质量和性功能有何影响?

Laryngectomy: what is the impact of the type of surgery on life quality and sexual function?

作者信息

Akil F, Yollu U, Toprak S F, Ayral M

机构信息

Diyarbakir Selahaddin Eyyubi Public Hospital, Otolaryngology Clinic, Diyarbakir, Turkey.

Gumushane Public Hospital, Otolaryngology Clinic, Gumushane, Turkey.

出版信息

Acta Otorhinolaryngol Ital. 2017 Aug;37(4):276-280. doi: 10.14639/0392-100X-760.

Abstract

The purpose of this study is to compare total and partial larygectomy on private life functions and sexuality in patients with laryngeal cancer. The study included 31 partial laryngectomy patients (Group 1) and 51 total laryngectomy patients (Group 2) who were operated for laryngeal cancer. European Organization for Research and Treatment of Cancer (EORTC) head and neck cancer module (QLQ-H&N35) and Arizona Sexual Experiences Scale (ASEX) forms were filled in by interviewing face to face with patients. HNSW (swallowing), HNSE (senses), HNSP (speech), HNSO (social eating), HNSX (sexuality), HNTE (problems with teeth), HNOM (problems with opening mouth) and HNCO (coughing) scores of EORTC QLQ-H&N35 were significantly higher in group 2 than in group 1. However, according to Arizona test results, there were no significant difference between the two groups.

摘要

本研究的目的是比较喉癌患者行全喉切除术和部分喉切除术对其私人生活功能及性功能的影响。该研究纳入了31例行部分喉切除术的患者(第1组)和51例行全喉切除术的患者(第2组),这些患者均因喉癌接受了手术。通过与患者面对面访谈,填写欧洲癌症研究与治疗组织(EORTC)头颈癌模块(QLQ-H&N35)和亚利桑那性体验量表(ASEX)表格。EORTC QLQ-H&N35的HNSW(吞咽)、HNSE(感觉)、HNSP(言语)、HNSO(社交进食)、HNSX(性功能)、HNTE(牙齿问题)、HNOM(张口问题)和HNCO(咳嗽)评分在第2组显著高于第1组。然而,根据亚利桑那测试结果,两组之间没有显著差异。

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本文引用的文献

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Psychosocial consequences for partners of patients after total laryngectomy and for the relationship between patients and partners.
Oral Oncol. 2015 Apr;51(4):389-98. doi: 10.1016/j.oraloncology.2014.12.008. Epub 2015 Jan 24.
6
Sexual problems after total or partial laryngectomy.全喉或部分喉切除术后的性功能问题。
Laryngoscope. 2008 Dec;118(12):2218-24. doi: 10.1097/MLG.0b013e318182cdc6.
10
Health-related quality of life five years after diagnosis of laryngeal carcinoma.喉癌确诊五年后的健康相关生活质量
Int J Radiat Oncol Biol Phys. 2003 Aug 1;56(5):1333-43. doi: 10.1016/s0360-3016(03)00292-x.

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