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目的：评价58例舌鳞癌患者术后的生存质量。方法：对58例舌鳞癌术后患者进行UW-QOL量表的问卷调查,比较舌鳞癌手术切除后胸大肌皮瓣修复及非皮瓣修复、功能性颈清扫术及根治性颈清扫术等不同手术方法对患者生存质量的影响；对患者日常生活的9个选项结果进行成组t检验,观察是否存在统计学差异。结果：组织瓣修复组和功能性颈清扫术组的生存质量总分高于非组织瓣组和根治性颈清扫术组,其差异具有统计学意义(P＜0．01)；在外貌及语言清晰度方面,组织瓣组的生存质量分数高于非组织瓣组,差异具有显著性(P＜0．01)。而在肩部功能方面,功能性颈清扫术的生存质量分数高于根治性颈清扫术,两者之间具有显著性差异(P＜0．01)；疼痛方面,非组织瓣组显著优于组织瓣组(P＜0．01)。结论：应用组织瓣对舌鳞癌切除后进行修复,在外貌和语言交流方面可以提高患者的生存质量：而术后患者的肩功能状况,功能性颈清扫术优于根治性颈清扫术。
Objective: To evaluate the quality of life of 58 patients with tongue squamous cell carcinoma. METHODS: A total of 58 patients with lingual squamous cell carcinoma were investigated by UW-QOL questionnaire. The comparison of pectoralis major myocutaneous flap repair and non-cutaneous flap repair, functional neck dissection, and radical neck dissection after surgical resection of tongue squamous cell carcinoma was performed. The effect of different surgical methods on the quality of life of patients; the results of 9 options for daily life of patients were grouped t-test to observe whether there was a statistical difference. Results: The total score of quality of life in the tissue flap repair group and the functional neck dissection group was higher than that in the non-tissue flap group and the radical neck dissection group. The difference was statistically significant (P<0.01); in appearance and language In terms of clarity, the quality of life score in the tissue flap group was higher than that in the non-tissue flap group, with a significant difference (P<0.01). In terms of shoulder function, the functional quality of functional neck dissection was higher than that of radical neck dissection. There was a significant difference between the two (P<0.01). In terms of pain, the non-tissue flap group was significantly superior to the neck dissection. Tissue flaps (P < 0.01). Conclusion: The use of tissue flaps for the repair of tongue squamous cell carcinoma after resection can improve the patient’s quality of life in terms of appearance and language exchange: In patients with postoperative functional status, functional neck dissection is better than radical neck dissection.