Quality of Life of Patients with Gastric Adenocarcinoma after Curative Gastrectomy

Quality of Life of Patients with Gastric Adenocarcinoma after Curative Gastrectomy
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根治性胃切除术后胃腺癌患者的生活质量

DOI:
10.1007/s002689900305
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发表时间:
1997
影响因子:
2.6
通讯作者:
F. P'eng
F. P'eng
中科院分区:
医学3区
文献类型:
--
作者:
Chew‐Wun Wu;M. Hsieh;S. Lo;W. Lui;F. P'eng

文献摘要

被引文献

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抽象的。对162例胃癌根治术后患者的生活质量进行了评价。结果显示,超过一半的患者食欲良好;他们的饮食和食物量正常。大约60%的患者体重减轻超过5 kg。与胃大部切除术患者相比,全胃切除术患者对正常食物的耐受性差,进食频繁,体重减轻。在远端胃大部切除术后接受Billroth II重建的患者比接受Billroth I吻合术的患者体重减轻更多。淋巴结清扫范围对生活质量无明显影响。65岁以下患者的生活质量较好。几乎所有患者都有正常的工作和日常生活活动。有些病人似乎缺乏能量或有一段时间的焦虑或抑郁。这些数据表明,根治性胃切除术可以与一个可接受的生活质量为潜在的可治愈的胃癌。
Abstract. Quality of life (QOL) was evaluated in 162 patients having radical gastrectomy for cancer. The results showed that more than half of the patients had a good appetite; they consumed a normal diet and a normal volume of food. Approximately 60% of the patients had weight loss of more than 5 kg. Patients who underwent a total gastrectomy had poor tolerance of normal food and frequent eating and body weight loss versus those who had a subtotal gastrectomy. Patients who underwent Billroth II reconstruction after a distal subtotal gastrectomy lost more body weight than those with a Billroth I anastomosis. The extent of lymphadenectomy did not influence the QOL. Patients under 65 years of age had a better QOL. Nearly all patients had normal work and daily living activities. Some patients appeared to lack energy or had a period of anxiety or depression. These data indicate that radical gastrectomy can be performed with an acceptable QOL for a potentially curable gastric carcinoma.