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目的探讨广泛性子宫切除术和次广泛性子宫切除术宫颈癌患者生存质量的差异。方法选取2011年1月—2012年1月进行次广泛性子宫切除术的30例宫颈癌患者作为观察组,同期进行广泛性子宫切除术的30例宫颈癌患者作为对照组,在术前10d、术后1、3个月利用生存质量调查表分析患者的生存质量,主要以患者自填为主,比较两组的躯体功能、角色功能和社会功能。计量资料采用t检验,P<0.05为差异有统计学意义。结果术后1个月对照组角色功能[(71.19±23.11)分]的恢复差于观察组[(96.19±11.05)分],比较差异有统计学意义(P<0.05)。术后3个月角色功能和社会功能观察组分别为(97.68±10.55)、(92.11±9.66)分,对照组分别为(88.09±96.99)、(80.14±6.14)分,比较差异均有统计学意义(均P<0.05)。结论次广泛性子宫切除术对宫颈癌患者的身体功能不会产生很大的影响,躯体功能、角色功能和社会功能恢复情况比广泛性子宫切除术好。
Objective To investigate the difference of quality of life among patients with cervical cancer undergoing extensive hysterectomy and subtotal hysterectomy. Methods Thirty patients with cervical cancer underwent extensive hysterectomy from January 2011 to January 2012 were selected as the observation group. Thirty patients with cervical cancer who underwent extensive hysterectomy during the same period were selected as the control group. At 10 days before operation, The quality of life of the patients was analyzed using the questionnaire of quality of life at 1 and 3 months after operation. The patients were mainly self-inflicted. The somatic, role and social functions of the two groups were compared. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The recovery of the function of the control group [(71.19 ± 23.11) points] was significantly lower than that of the observation group [(96.19 ± 11.05) points] at 1 month after operation. The difference was statistically significant (P <0.05). The scores of functional and social function in the three months after operation were (97.68 ± 10.55) and (92.11 ± 9.66) points, respectively, while those in the control group were (88.09 ± 96.99) and (80.14 ± 6.14) points respectively, with statistical difference Significance (all P <0.05). Conclusions Subtotal hysterectomy does not have a significant effect on the physical function of patients with cervical cancer, and recovery of somatic, functional and social functions is better than that of extensive hysterectomy.