CAJ | 학술논문

目的：探讨一侧全肺切除与肺叶切除两种手术方式对女性患者生活质量的影响。方法回顾性分析2010年10月~2013年10月行一侧全肺切除或肺叶切除、有完整随访记录的133例女性肺癌患者的临床资料,其中54例行一侧全肺切除(全肺切除组),79例行肺叶切除(肺叶切除组)。术后3个月,参照EORTC QLQ-C30量表,逐条对患者进行问卷调查,从躯体功能、物质生活、心理功能、认知功能、社会功能、总体健康状况等方面评估患者的生活质量,并比较两组普通症状参数评分及相关症状发生率。结果全肺切除组的躯体功能、心理功能、社会功能、总体健康状况评分均低于肺叶切除组,差异有统计学意义(P<0.05)；全肺切除组的乏力、心慌气短及呼吸困难评分明显高于肺叶切除组,差异有统计学意义(P<0.05)；两组的憋气、膈肌升高及气管偏移发生率比较差异有统计学意义(P<0.05)。结论一侧全肺切除的女性肺癌患者术后早期生活质量明显降低,生理压力、心理压力及临床症状可降低术后生活质量。
목적：탐토일측전폐절제여폐협절제량충수술방식대녀성환자생활질량적영향。방법회고성분석2010년10월~2013년10월행일측전폐절제혹폐협절제、유완정수방기록적133례녀성폐암환자적림상자료,기중54례행일측전폐절제(전폐절제조),79례행폐협절제(폐협절제조)。술후3개월,삼조EORTC QLQ-C30량표,축조대환자진행문권조사,종구체공능、물질생활、심리공능、인지공능、사회공능、총체건강상황등방면평고환자적생활질량,병비교량조보통증상삼수평분급상관증상발생솔。결과전폐절제조적구체공능、심리공능、사회공능、총체건강상황평분균저우폐협절제조,차이유통계학의의(P<0.05)；전폐절제조적핍력、심황기단급호흡곤난평분명현고우폐협절제조,차이유통계학의의(P<0.05)；량조적별기、격기승고급기관편이발생솔비교차이유통계학의의(P<0.05)。결론일측전폐절제적녀성폐암환자술후조기생활질량명현강저,생리압력、심리압력급림상증상가강저술후생활질량。
Objective To explore the influence of two surgical strategies about pneumonectomy and pulmonary lobectomy on quality of life in female patients. Methods The clinical data of 133 female patients with lung cancer under went pneumonectomy or pulmonary lobectomy and with total follow-up record from October 2010 to October 2013 were retrospectively analyzed.The pneumonectomy was used in pneumonectomy group (54 patients),pulmonary lobectomy was applied in pulmonary lobectomy group (79 patients).After surgery of 3 months,with reference to the EORTC QLQ-C30,questionaire survey was conducted to evaluate patients’ quality of life from the following aspects:physical functioning,material life,emotional function,cognitive function,social function,the overall health status.The common symptom parameters score,the incidence rate of associated symptom in two groups was compared respectively. Results The score of physical functioning,emotional function,social function,the overall health status in pneumonectomy group was lower than that in pulmonary lobectomy group respectively,with statistical difference (P<0.05).The score of hypodynamia,palpitation and shortness of breath,breathing difficulty in pneumonectomy group was significantly higher than that in pulmonary lobectomy group respectively,with statistical difference (P<0.05).The incidence rate of suffocation,diaphragmatic elevention and tracheal deviation in two groups was compared respectively,with statistical difference (P<0.05). Conclusion Postoperative quality of life of pneumonectomy in female patients with lung cancer is obviously decreased,physiological stress,psychological and clinical symptom can reduce their postoperative quality of life.