Andrews Cody C, Siegel Geoffrey, Smith Sean
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Patient Relat Outcome Meas. 2019 Dec 31;10:417-425. doi: 10.2147/PROM.S130183. eCollection 2019.
Sarcomas are bone and soft tissue tumors that can have significant effects on patient function and quality of life. Like most malignancies, treatment includes a combination of chemotherapy, radiation, and surgical resection, all of which also carry risks and long-term effects. A multidisciplinary rehabilitation plan can help minimize symptoms and sequelae which negatively affect the patient function and quality of life, including pain, chemotherapy-induced peripheral neuropathy, radiation fibrosis, activity restrictions following surgical excision, amputation, bowel and bladder dysfunction, and lymphedema. Patients should be evaluated by a rehabilitation specialist at any point during their diagnosis, treatment, and survivorship phase to determine appropriate interventions to minimize the impact of sarcomas and their treatment on patient function and quality of life.
肉瘤是一种骨和软组织肿瘤,会对患者的功能和生活质量产生重大影响。与大多数恶性肿瘤一样,治疗方法包括化疗、放疗和手术切除,所有这些治疗也都有风险和长期影响。多学科康复计划有助于将对患者功能和生活质量产生负面影响的症状和后遗症降至最低,这些症状和后遗症包括疼痛、化疗引起的周围神经病变、放射性纤维化、手术切除、截肢、肠道和膀胱功能障碍以及淋巴水肿后的活动受限。在患者的诊断、治疗和生存阶段的任何时候,都应由康复专家进行评估,以确定适当的干预措施,将肉瘤及其治疗对患者功能和生活质量的影响降至最低。