Impact of postthyroidectomy scar on the quality of life of thyroid cancer patients.
Impact of postthyroidectomy scar on the quality of life of thyroid cancer patients.
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DOI：
10.5021/ad.2014.26.6.693
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发表时间：
2014-12
影响因子：
1.6
通讯作者：
Roh MR
中科院分区：
文献类型：
--
作者：
Choi Y;Lee JH;Kim YH;Lee YS;Chang HS;Park CS;Roh MR
手术疤痕是重要的美容问题，特别是在暴露的区域，如甲状腺切除术后的前颈部。评价甲状腺切除术后瘢痕对甲状腺癌患者生活质量（QoL）的影响，并确定瘢痕特征与QoL之间的关系。招募了颈部有甲状腺切除术后瘢痕的患者。使用皮肤病生活质量指数（DLQI）测量QoL。根据温哥华瘢痕量表（VSS）评分对瘢痕特征进行分级。97例患者在入组时完成了一系列问题。甲状腺切除术后瘢痕按形态分为线状扁平瘢痕、线状隆起瘢痕、增生性瘢痕和粘连性瘢痕。每组分别为32例（33.0%）、9例（9.3%）、41例（42.3%）和15例（15.5%）。平均DLQI总分为9.02。领域2（日常活动，2.87分），包括关于服装的问题，在患者中受到的影响最大。有瘢痕相关症状的患者DLQI总分显著高于无瘢痕相关症状的患者（p<0.05）。线性扁平瘢痕VSS评分为3.09分，线性隆起瘢痕为6.89分，增生性瘢痕为6.29分，粘连性瘢痕为5.60分。然而，DLQI评分在瘢痕类型或VSS评分之间没有显著差异。甲状腺切除术后颈部瘢痕影响甲状腺癌患者的生活质量，无论瘢痕类型如何。因此，临床医生应重视瘢痕对患者心理的影响，尽量减少甲状腺术后瘢痕的发生。
Surgical scars are crucial cosmetic problem, especially when in exposed areas such as the anterior neck following thyroidectomy. To evaluate the impact of post-thyroidectomy scars on quality of life (QoL) of thyroid cancer patients and identify the relationship between scar characteristics and QoL. Patients with post-thyroidectomy scars on the neck were recruited. QoL was measured using the Dermatology Life Quality Index (DLQI). Scar characteristics were graded according to Vancouver scar scale (VSS) score. Ninety-seven patients completed a battery of questions at the time of enrollment. Post-thyroidectomy scars were classified according to morphology as linear flat scars, linear bulging scars, hypertrophic scars or adhesive scars. There were 32 patients (33.0%), 9 patients (9.3%), 41 patients (42.3%) and 15 patients (15.5%), respectively, in each group. The mean total DLQI score was 9.02. Domain 2 (daily activities, 2.87 points), which includes questions about clothing, was the most greatly impacted among patients. The total DLQI scores of patients who have experienced scar-related symptoms were significantly higher than those of patients without symptoms (p<0.05). The VSS scores were 3.09 for linear flat scars, 6.89 for linear bulging scars, 6.29 for hypertrophic scars and 5.60 for adhesive scars. However, the DLQI scores did not significantly differ among scar types or VSS scores. Post-thyroidectomy scars on the neck affect the QoL of thyroid cancer patients regardless of scar type. Therefore, clinicians should pay attention to the psychological effects of scars on patients and take care to minimize post-thyroidectomy scar.
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影响因子：
2.6
作者：
Tan, Charles T. K.;Cheah, W. K.;Delbridge, Leigh
通讯作者：
Delbridge, Leigh
DOI：
10.1111/j.1468-3083.2010.03618.x
发表时间：
2010-10-01
影响因子：
9.2
作者：
Jin-gang, A.;Sheng-xiang, X.;Xiao-peng, W.
通讯作者：
Xiao-peng, W.
DOI：
10.1016/j.bjps.2008.03.020
发表时间：
2008-01-01
影响因子：
2.7
作者：
Brown, B. C.;McKenna, S. P.;Bayat, A.
通讯作者：
Bayat, A.
DOI：
10.1016/s0190-9622(99)70112-x
发表时间：
1999-09-01
影响因子：
13.8
作者：
Rapp, SR;Feldman, SR;Reboussin, DM
通讯作者：
Reboussin, DM
影响因子：
5.7
作者：
Gauglitz, Gerd G.;Korting, Hans C.;Jeschke, Marc G.
通讯作者：
Jeschke, Marc G.