论文部分内容阅读
目的探讨在中晚期食管癌和食管气管瘘患者中采用内镜下金属支架置入术治疗对其生存质量的影响。方法采用癌症患者生活质量核心量表(EORTCQLQ-C30)中文版和食管癌专用量表(QLQ-OES18),对34例中晚期食管癌及食管气管瘘患者进行内镜下金属支架置入术治疗前1d、治疗后4周的生存质量进行问卷调查。结果治疗后4周,患者总体生活质量和躯体、角色、情绪、社会功能评分较术前显著升高(P<0.05),但认知功能无明显变化(P>0.05);吞咽困难、疲乏、进食、梗阻、咳嗽显著改善,反流加重;恶心呕吐、疼痛、咽口水、食欲减退、口干、言语有所改善,但差异无统计学意义(P>0.05)。结论内镜下金属支架置入术能改善中晚期食管癌和食管气管瘘患者生存质量。
Objective To investigate the effect of endoscopic metal stent implantation on the quality of life in advanced esophageal cancer and esophageal tracheal fistula patients. Methods 34 patients with advanced esophageal cancer and esophageal tracheal fistula underwent endoscopic metal stent placement with Chinese version of EORTCQLQ-C30 and QLQ-OES18. Before 1d, 4 weeks after treatment, the quality of life was investigated by questionnaire. Results After 4 weeks of treatment, the scores of total quality of life and body, character, emotion and social function were significantly higher than those before surgery (P <0.05), but there was no significant change in cognitive function (P> 0.05); dysphagia, fatigue, Feeding, obstruction, cough significantly improved, reflux increased; nausea and vomiting, pain, swallowing, appetite, dry mouth, speech improved, but the difference was not statistically significant (P> 0.05). Conclusion Endoscopic stent placement can improve the quality of life of patients with advanced esophageal cancer and esophageal tracheal fistula.