下颌骨良性肿瘤切除术及下颌骨重建术后患者的生活质量

Pingky Krisna Arindra, Bramasto Purbo Sejati, Rahardjo Rahardjo
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引用次数: 0

摘要

患者的生活质量成为干预成功的重要组成部分,因为它被用作结果衡量标准。下颌骨切除会造成不连续性,从而降低患者的生活质量。与术前相比,大面积切除重建会影响患者术后的生活质量。在此基础上,对2010-2015年在Dr. Sardjito总医院接受边缘切除、节段切除或半下颌部切除术的27例下颌良性肿瘤患者进行横断面研究。采用改进的口腔健康影响量表(OHIP-14)测量下颌切除术重建后患者的生活质量。根据性别和重建类型对手术前后的生活质量进行评估,并使用t检验和单因素方差分析进行分析。结果显示,良性肿瘤患者的生活质量明显提高(p= 0000),性别差异对改善的生活质量无显著影响(p=0.433)。边缘切除的患者生活质量平均评分最高(平均值=14.50),节段切除的患者生活质量平均评分最低(平均值=7.50),但切除类型对患者生活质量的改善无显著影响(p=0.152)。Sardjito博士综合医院的口腔颌面外科医生进行的切除和重建手术可以提高下颌良性肿瘤患者的生活质量。
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Quality of life of patients with lower jaw benign tumor post resection and mandibular reconstruction
The quality of life of patients becomes an essential part of the success of an intervention since it is used as an outcome measure. Mandible resection will cause discontinuities that can degrade the quality of life of patients. Extensive resectionand reconstruction will affect the quality of life of patients after resection and reconstruction surgery as compared with that before the surgery. On this basis, cross-sectional study was conducted among 27 patients suffering from benignmandibular tumors undergoing surgical procedure of marginal resection, segmental resection, or hemimandibulectomy at Dr. Sardjito genral hospital in 2010-2015. Quality of life of patients after mandibular resection and reconstruction was measured with modified oral health impact profile (OHIP-14). An assessment of the quality of life before and after surgery was based on gender and type of reconstruction and it was analyzed using t-test and one-way ANOVA. It was revealed that the quality of life of patients with benign tumors increased significantly (p=0,000), and that gender differences did not significantly affect the improved quality of life (p=0.433). The mean score of patient’s quality of life was highest on the type of marginal resection (mean value =14.50), and the lowest was on segmental resection (mean value=7.50), but the type of resection did not significantly influence the improved quality of life (p=0.152). Resection and reconstruction procedures under taken by Oral and Maxillofacial Surgeon at Dr. Sardjito general hospital can improve the quality of life of patients with benign tumors of the lower jaw.
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