CAJ | 학술논문

目的：评估应用游离股前外侧穿支皮瓣（ALTF）修复口腔颌面部恶性肿瘤切除术后组织缺损患者的生活质量（QOL）。方法以2012年1月—2013年7月应用ALTF修复口腔颌面部恶性肿瘤切除术后组织缺损的32例患者为研究对象，应用口腔健康影响程度量表（OHIP-14）和简明健康状况调查问卷（SF-36）对患者术后12个月的QOL进行调查和评估。结果 SF-36问卷得分位于前3的项目是躯体疼痛、生理功能和躯体角色，得分分别是78.58±14.82、72.08±27.86和60.00±42.63；得分较低的是情感角色（41.67±39.62）、心理健康（50.75±13.07）和健康变化（54.17±21.75）。分析OHIP-14量表得分，恢复较好的项目是社交障碍和残障，得分分别为34.50±11.32和36.04±12.05；恢复较差的项目是生理性疼痛和心理不适，得分分别为73.50±18.96和60.17±25.66。结论采用ALTF修复口腔颌面部恶性肿瘤切除术后组织缺损，能够恢复患者外形、语言和咀嚼功能的基本需求，提高患者的QOL。
목적：평고응용유리고전외측천지피판（ALTF）수복구강합면부악성종류절제술후조직결손환자적생활질량（QOL）。방법이2012년1월—2013년7월응용ALTF수복구강합면부악성종류절제술후조직결손적32례환자위연구대상，응용구강건강영향정도량표（OHIP-14）화간명건강상황조사문권（SF-36）대환자술후12개월적QOL진행조사화평고。결과 SF-36문권득분위우전3적항목시구체동통、생리공능화구체각색，득분분별시78.58±14.82、72.08±27.86화60.00±42.63；득분교저적시정감각색（41.67±39.62）、심리건강（50.75±13.07）화건강변화（54.17±21.75）。분석OHIP-14량표득분，회복교호적항목시사교장애화잔장，득분분별위34.50±11.32화36.04±12.05；회복교차적항목시생이성동통화심리불괄，득분분별위73.50±18.96화60.17±25.66。결론채용ALTF수복구강합면부악성종류절제술후조직결손，능구회복환자외형、어언화저작공능적기본수구，제고환자적QOL。
ObjectiveThis?study?aims?to?evaluate?the?quality?of?life?(QOL)?of?patients?who?underwent?resection?of?oral?cancer?and?reconstruction?by?free?anterolateral?thigh?perforator?flaps?(ALTF).?Methods???A?total?of?32?patients?with?oral?and?maxillofacial?malignancies?who?had?undergone?the?resection?of?oral?cancer?and?reconstruction?by?ALTF?were?retrospectively?analyzed.?At?12?months?postoperatively,?the?QOL?of?these?patients?was?assessed?by?using?the?14-item?oral?health?impact?pro-file?(OHIP-14)?and?the?medical?outcome?study?short?form-36?(SF-36)?questionnaires.?Results???A?total?of?32?questionnaires?were?collected.?In?SF-36,?the?highest?scoring?domains?were?bodily?pain?(78.58±14.82),?physical?functioning?(72.08±27.86),?and?the?role?of?physical?(60.00±42.63),?whereas?the?lowest?scoring?domains?were?role-emotional?(41.67±39.62),?followed?by?mental?health?(50.75±13.07)?and?health?transition?(54.17±21.75).?In?OHIP-14,?the?lowest?scoring?domains?were?social?disability?(34.50±11.32)?and?handicap?(36.04±12.05),?indicating?the?functional?recovery?was?better;?and?the?highest?scoring?domains?were?physical?pain?(73.50±18.96)?and?psychological?discomfort?(60.17±20.66),?indicating?the?functional?recovery?was?worse.?Conclusion???The?ALTF?is?an?ideal?selection?for?the?reconstruction?of?oral?defects?after?cancer?resection.?In?using?this?flap,?the?basic?social?need?of?patients?after?surgery?can?be?satisfied.?Moreover,?the?appearance?and?the?functions?of?chewing,?deglu-tition,?and?speech?can?be?restored?in?varying?degrees.?Thus,?ALTF?can?improve?the?patients’?QOL.