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胃癌胃切除术后患者生活质量与消化道重建方式的关系。

Quality of Life of Patients Depending on the Method of the Ggastrointestinal Tract Reconstruction after Gastrectomy for Stomach Cancer.

机构信息

Clinical Department of General, Colorectal and Trauma Surgery, Medical University of Silesia, 1540-055, 15 Poniatowskiego Str., Katowice, Poland.

出版信息

Asian Pac J Cancer Prev. 2023 Jun 1;24(6):2177-2186. doi: 10.31557/APJCP.2023.24.6.2177.

Abstract

OBJECTIVE

The article provides the study results, the purpose of which was to check whether there is a relationship between the type of reconstructive surgery and the quality of life of patients. The results of reconstructive surgeries in 90 patients diagnosed with stomach cancer who underwent gastrectomy with D2 lymphadenectomy were analysed.

METHODS

All patients were randomised into three groups, depending on the method of gastrointestinal tract reconstruction. The study also evaluated the quality of life of patients after gastrectomy using the QLQ-C30 and QLQ-OG25 questionnaires.

RESULT

The study results did not demonstrate the superiority of one method of reconstructive surgery over another. Patients who underwent Omega reconstruction generally functioned better physically and emotionally, and complained less often of pain, insomnia and diarrhoea. Patients after gastrointestinal tract reconstruction using the Roux-en-Y method reported less nausea and vomiting, eating disorder and anxiety.

CONCLUSION

Based on the obtained data, it was concluded that currently it is impossible to state unequivocally which method of gastrointestinal tract reconstruction improves the quality of life of patients after gastrectomy, however, it should be clearly noted that QLQ questionnaires are a useful tool for evaluation of the quality of life of patients after gastrectomy.

摘要

目的

本文提供了研究结果,旨在检查重建手术的类型与患者生活质量之间是否存在关系。分析了 90 例接受 D2 淋巴结清扫术胃切除术的胃癌患者的重建手术结果。

方法

所有患者均根据胃肠道重建方法随机分为三组。研究还使用 QLQ-C30 和 QLQ-OG25 问卷评估了胃癌患者手术后的生活质量。

结果

研究结果并未显示出一种重建手术方法优于另一种方法。接受 Omega 重建的患者在身体和情绪上通常功能更好,抱怨疼痛、失眠和腹泻的频率较低。使用 Roux-en-Y 方法进行胃肠道重建的患者报告恶心和呕吐、饮食失调和焦虑的频率较低。

结论

基于获得的数据,得出的结论是,目前尚无法明确指出哪种胃肠道重建方法可以提高胃切除术后患者的生活质量,但应明确指出,QLQ 问卷是评估胃切除术后患者生活质量的有用工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/10505866/4ccf79a64f65/APJCP-24-2177-g001.jpg

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