脑肿瘤手术治疗后患者的生活质量与肿瘤位置的关系

A. Królikowska, P. Zieliński, M. Harat, R. Jabłońska, B. Haor, K. Filipska, Robert Ślusarz
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摘要

介绍。颅内肿瘤的位置和治疗过程本身可以显著影响患者的生活质量。因此,这项研究的目的是调查脑肿瘤的位置对手术治疗患者生活质量的影响。的目标。这项研究的目的是调查脑肿瘤的位置对手术治疗患者生活质量的影响。材料和方法。该研究包括在比得哥什第10军事临床医院神经外科与SP ZOZ综合诊所进行手术的236名脑肿瘤患者。不同肿瘤位置的患者包括:在颞叶,额叶,顶叶,脑室和脑外位置。生活质量评估采用以下问卷:EORTC QLQ-C30和EORTC QLQ-BN20,分别于患者入院当天、脑肿瘤手术后第5天和手术后30天进行三次测试。结果。术后早期各组患者的生活质量在肿瘤位置上均有所下降,尤其是额叶肿瘤(-0.104)和脑室肿瘤(-0.109)(p > 0.05)。第30天,各组患者的生活质量均有改善,其中脑外肿瘤(0.115)和颞叶肿瘤(0.097)患者的生活质量改善最大(p > 0.05)。结论。脑肿瘤的位置对被研究患者的生活质量没有影响。术后早期生活质量下降,术后30天生活质量改善。[j] .神经网络学报,2020;9(3):91-96
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The Quality of Life of Patients after Surgical Treatment of Brain Tumours and the Location of the Tumour
Introduction. The location of intracranial neoplasms and the process of treating these lesions itself can significantly affect the quality of life of patients. Hence, the aim of the study was to investigate the impact of the location of the brain tumour on the quality of life of surgically treated patients. Aim. The aim of the study was to investigate the influence of the location of the brain tumour on the quality of life of surgically treated patients. Material and Methods. The study included 236 patients with brain tumours operated at the Department of Neurosurgery of the 10th Military Clinical Hospital with the SP ZOZ Polyclinic in Bydgoszcz. Patients with different tumour locations were included: in the temporal lobe, in the frontal lobe, in the parietal lobe, in the ventricles of the brain and in the extra-cerebral locations. The following questionnaires were used to assess the quality of life: EORTC QLQ-C30 and EORTC QLQ-BN20, in which the patients were tested three times: on the day of admission to the Clinic, on the fifth day after brain tumour surgery and 30 days after the surgery. Results. Patients’ quality of life decreased in the early postoperative period in all groups in terms of tumour location, especially in patients with tumours of the frontal lobe (-0.104) and ventricular neoplasms (-0.109) (p > 0.05). On the 30th day, however, an improvement in the quality of life was achieved in all groups, the highest improvement was obtained in patients with tumours located extra-cerebrally (0.115) and tumours of the temporal lobe (0.097) (p > 0.05). Conclusions. There was no effect of the location of the brain tumour on the quality of life of the studied patients. In the early postoperative period, the quality of life decreased, while it improved 30 days after the surgery. (JNNN 2020;9(3):91–96) Key Words: brain tumour, quality of life, tumour location
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