[Larynx cancer: quality of life and voice after treatment].

[Larynx cancer: quality of life and voice after treatment].
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DOI:
10.1016/j.bjorl.2014.07.005
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发表时间:
2014-09
影响因子:
2.2
通讯作者:
Chone, Carlos Takahiro
Chone, Carlos Takahiro
中科院分区:
医学3区
文献类型:
--
作者:
Rossi, Vaneli Colombo;Fernandes, Fernando Laffitte;Aliperti Ferreira, Maria Augusta;Bento, Lucas Ricci;Gomes Pereira, Pablo Soares;Chone, Carlos Takahiro

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喉癌患者的治疗通常会对身体、社会和心理功能产生影响。评估通过手术或单纯放化疗治疗晚期喉癌患者的生活质量和声音。 30 名无疾病患者的回顾性队列研究:10 名全喉切除患者,无食管言语(ES)产生;十名全喉切除患者患有气管食管言语(TES),十名患有喉言语。生活质量通过当天应用的 SF-36、语音相关生活质量 (V-RQOL) 和语音障碍指数 (VHI) 方案进行测量。 SF-36显示,接受单纯放化疗的患者比TES和ES组的生活质量更好。 V-RQOL 显示 ES 组与声音相关的生活质量较低。在 VHI 中,ES 组在整体、情感、功能和有机 VHI 方面表现出较高的分数。接受放化疗的患者的生活质量和声音优于手术治疗的患者。喉癌患者使用的医疗类型可以带来生活质量和声音的变化。
Treatments for patients with laryngeal cancer often have an impact on physical, social, and psychological functions. To evaluate quality of life and voice in patients treated for advanced laryngeal cancer through surgery or exclusive chemoradiation. Retrospective cohort study with 30 patients free from disease: ten total laryngectomy patients without production of esophageal speech (ES); ten total laryngectomy patients with tracheoesophageal speech (TES), and ten with laryngeal speech. Quality of life was measured by SF-36, Voice-Related Quality of Life (V-RQOL), and Voice Handicap Index (VHI) protocols, applied on the same day. The SF-36 showed that patients who received exclusive chemoradiotherapy had better quality of life than the TES and ES groups. The V-RQOL showed that the voice-related quality of life was lower in the ES group. In the VHI, the ES group showed higher scores for overall, emotional, functional, and organic VHI. Quality of life and voice in patients treated with chemoradiotherapy was better than in patients treated surgically. The type of medical treatment used in patients with laryngeal cancer can bring changes in quality of life and voice.
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