[Assessment of the quality of life of mandibular ameloblastoma patients after reconstruction with double-barrel fibula flap].

医学 成釉细胞瘤 生活质量(医疗保健) 腓骨 外科 统计显著性 牙科 内科学 胫骨 上颌骨 护理部
作者
Ning Gao,Kun Fu,Jinghua Cai,Wei He
出处
期刊:PubMed 被引量:1
标识
DOI:10.3760/cma.j.cn115330-20201229-00956
摘要

Objective: To analyse the quality of life of patients receiving repair of bone defect with folded fibula flap after removal of mandibular ameloblastoma. Methods: The case data of 39 patients with ameloblastoma admitted to the First Affiliated Hospital of Zhengzhou University from August 2013 to April 2016 were retrospectively analysed, including 21 males and 18 females, from 18 to 58 years old. 3D printing and digital technology were used in flap preparation before surgery in all patients. The folded fibular flaps were used to repair mandibular defects and the implants were placed between 6-9 months after surgery. The short form-36 health survey questionnaire (SF-36) and the university of Washington quality of life questionnaire (UW-QOL) were applied to evaluate the quality of life of patients before surgery and at 6 months and 24 months after surgery. The higher the score, the better the condition. SPSS 20.0 was adopted for statistical analysis. Results: The SF-36 survey showed that the mean score of body role before surgery (72.4±11.7) was significantly higher than that at 6 months after surgery (39.6±11.1, t=23.580, P<0.05) or that at 24 months after surgery (59.8±6.4, t=8.358, P<0.001). Compared with the preoperative mean scores of Physical Pain (73.0±11.0), General Health (73.4±10.4) and Health Changes (79.2±3.9) before surgery, the mean scores Physical Pain (53.1±7.7), General Health (53.5±7.5) and Health Changes (63.9±11.7) at 6 months after surgery were decreased significantly respectively (t=13.068, 13.756 and 10.880, respectively, all P<0.05), but the mean scores Physical Pain (78.8±14.0), General Health (80.9±12.6) and Health Changes (84.4±4.6) at 24 months after surgery were increased significantly respectively (t=-2.904, -4.027 and -7.586, respectively, all P<0.05), with significant differences in the mean scores of Physical Pain, General Health and Health Changes between 6 and 24 months after surgery (t=-14.241, -16.490, -14.294, respectively, all P<0.001). The UW-QOL survey showed that the mean scores of chewing, language and taste functions decreased at 6 months after surgery (53.1±6.7, 53.0±7.7 and 62.2±9.9, respectively), but improved at 24 months after surgery (67.9±3.9, 63.9±2.9 and 68.4±11.1, respectively), with statistically significant difference (t=-16.765, -11.675 and 2.498, respectively, all P<0.001). Conclusion: The application of folded fibula flaps to repair bone defects after sugery of mandibular ameloblastoma can better meet the needs of language and chewing functions and improve the quality of life of patients.目的: 分析折叠腓骨瓣修复下颌骨成釉细胞瘤术后骨缺损患者的生命质量。 方法: 回顾性分析2013年8月至2016年4月郑州大学第一附属医院收治的39例下颌骨成釉细胞瘤患者的病例资料,其中男性21例,女性18例,年龄18~58岁。所有患者术前均经过3D打印和数字化技术进行准备,术中应用折叠腓骨瓣修复下颌骨缺损,并于术后6~9个月进行种植体植入术。应用简明健康状况调查问卷(short form-36 health survey questionnaire,SF-36)和华盛顿大学生存质量问卷(university of Washington quality of life questionnaire,UW-QOL)对患者术前、术后6个月、术后24个月的生命质量进行调查评估,分值越高表示状况越好。使用SPSS 20.0软件进行统计学分析。 结果: SF-36调查显示:躯体角色术前为(72.4±11.7)分,术后6个月[(39.6±11.1)分]下降(t=23.580,P<0.05),术后24个月[(59.8±6.4)分]仍无法恢复到术前水平(t=8.358,P<0.001);术后6个月时躯体疼痛[(53.1±7.7)分]、总体健康[(53.5±7.5)分]、健康变化[(63.9±11.7)分]较术前[(73.0±11.0)分、(73.4±10.4)分和(79.2±3.9)分]下降(t=13.068、13.756、10.880,P值均<0.05),但术后24个月时的分值[(78.8±14.0)分、(80.9±12.6)分和(84.4±4.6)分]均高于术前(t=-2.904、-4.027、-7.586,P值均<0.05),且术后24个月与术后6个月相比差异有统计学意义(t值分别为-14.241、-16.490、-14.294,P值均<0.001)。UW-QOL调查显示:术后6个月下降的项目是咀嚼[(53.1±6.7)分]、语言[(53.0±7.7)分]和味觉[(62.2±9.9)分],在术后24个月时改善[(67.9±3.9)分、(63.9±2.9)分和(68.4±11.1)分],差异均有统计学意义(t值分别为-16.765、-11.675和2.498,P值均<0.001)。 结论: 采用折叠腓骨瓣修复下颌骨成釉细胞瘤术后的骨缺损,能够较好地满足语言和咀嚼功能的需求,提高患者的生命质量。.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
锥子完成签到,获得积分10
刚刚
白色的风车发布了新的文献求助200
刚刚
机会啊完成签到,获得积分10
1秒前
123456完成签到,获得积分10
1秒前
迷路的鸽子完成签到,获得积分10
1秒前
苹果王子6699完成签到 ,获得积分10
2秒前
hani完成签到,获得积分10
3秒前
4秒前
激动的xx关注了科研通微信公众号
4秒前
5秒前
柠檬发布了新的文献求助10
6秒前
夸克的诗意完成签到,获得积分10
6秒前
无花果应助yy湫采纳,获得10
6秒前
6秒前
xlj完成签到,获得积分10
6秒前
清欢完成签到,获得积分10
6秒前
土土完成签到,获得积分10
7秒前
滕遥完成签到,获得积分10
7秒前
木木完成签到,获得积分10
8秒前
Oz完成签到,获得积分10
8秒前
迷人耗子精完成签到,获得积分10
8秒前
Shark完成签到,获得积分10
8秒前
Hello应助leo采纳,获得10
9秒前
沙力VAN完成签到,获得积分10
9秒前
gelinhao完成签到,获得积分10
9秒前
正经大善人完成签到,获得积分10
9秒前
CR7应助zhuww采纳,获得20
10秒前
10秒前
11秒前
赖建琛完成签到 ,获得积分10
11秒前
一叶知秋完成签到 ,获得积分10
11秒前
龙傲天完成签到,获得积分10
12秒前
liii完成签到,获得积分10
12秒前
醒不来的猫完成签到,获得积分10
13秒前
搜集达人应助夸克的诗意采纳,获得10
13秒前
解语花应助土土采纳,获得30
13秒前
刘博士完成签到,获得积分10
14秒前
善学以致用应助忽然之间采纳,获得10
15秒前
11完成签到,获得积分20
15秒前
饼饼发布了新的文献求助10
16秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
A new approach to the extrapolation of accelerated life test data 1000
Coking simulation aids on-stream time 450
北师大毕业论文 基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 390
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Robot-supported joining of reinforcement textiles with one-sided sewing heads 360
Novel Preparation of Chitin Nanocrystals by H2SO4 and H3PO4 Hydrolysis Followed by High-Pressure Water Jet Treatments 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4015859
求助须知:如何正确求助?哪些是违规求助? 3555835
关于积分的说明 11318981
捐赠科研通 3288954
什么是DOI,文献DOI怎么找? 1812355
邀请新用户注册赠送积分活动 887882
科研通“疑难数据库(出版商)”最低求助积分说明 812027