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目的探讨喉全切除术后患者生活质量随时间变化情况。方法用生活质量评定量表于术前1周、术后3个月、术后6个月及1a分别对64例喉全切除术后患者进行测评分析。结果术后6个月,患者的角色功能、情绪功能优于术前1周,且差异有统计学意义。术后1a患者角色功能、情绪功能及总体生活质量优于术前1周,差异有统计学意义。结论术后6个月患者开始进入适应状态,生活质量显著提高,术后6个月可作为长期生活质量调查的分界点。
Objective To investigate the quality of life of patients after total laryngectomy with time changes. Methods Sixty-four patients undergoing total laryngectomy were assessed with Quality of Life Scale 1 week before surgery, 3 months after surgery, 6 months after surgery, and 1a respectively. Results Six months after operation, the role and emotional function of patients were better than those of preoperative one week, and the difference was statistically significant. The role, emotional function and overall quality of life of patients with postoperative 1a were better than those of preoperative one week, the difference was statistically significant. Conclusion Six months after operation, the patients started to adapt and the quality of life improved significantly. At 6 months after operation, they could be used as the cut-off points for long-term quality of life survey.