目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软...目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软件包分析量表的信度、效度和反应度。结果:量表总的克朗巴赫系数和分半信度分别为0.725和0.701;12个条目可提取4个因子,累计方差贡献率为65.4%;以SF-36中文版和FACT-H&N的头颈特异性子量表FACT-HN为效标,其效标效度分别为0.543和0.738;量表能敏感地区分已知的2组口腔癌患者术前QOL的差异及口腔癌患者QOL随时间的变化。结论:UW-QOL第4版具有良好的信度和反应度,其测定结构呈多维性,可用于中国人口腔癌患者生存质量的测量。展开更多
口腔颌面部间隙感染(oral and maxillofacial space infections,OMSI)是颌面部潜在筋膜间隙的感染,是口腔颌面部的常见疾病。OMSI病例具有耐药菌感染增多、重症感染增多、致死风险增加等特点。为提高OMSI的治愈率,其治疗原则与方法需与...口腔颌面部间隙感染(oral and maxillofacial space infections,OMSI)是颌面部潜在筋膜间隙的感染,是口腔颌面部的常见疾病。OMSI病例具有耐药菌感染增多、重症感染增多、致死风险增加等特点。为提高OMSI的治愈率,其治疗原则与方法需与时俱进。因此,依据国内部分专家当前诊治OMSI的临床经验,结合国际同行治疗经验,本文从术前检查、检查结果解读、经验性用药原则、手术处理原则、术后换药原则、智齿冠周炎相关间隙感染的防治策略、血糖监测与控制、物理因子治疗原则、路德维希咽峡炎治疗和围手术期护理等10个方面进行系统性总结,形成共识,以期逐步实现我国口腔颌面外科同行诊治OMSI的规范化与标准化,最终达到提高我国OMSI的诊疗水平的目的。展开更多
Salivary gland tumors are a group of the most common tumors in the oral and maxillofacial region. They have features with complicated histopathologic classification and wide distribution. There is little knowledge on ...Salivary gland tumors are a group of the most common tumors in the oral and maxillofacial region. They have features with complicated histopathologic classification and wide distribution. There is little knowledge on the clinicopathologic characterics and clinical behaviors of salivary gland tumors of various locations and subtype. The management of salivary gland tumors is also contraversial. Biopsy is not suggested because of seeding of tumor cells. Therefore adjunctive methods are important for preoperative diagnosis. Since 1985, our research group has performed a series of basic and clinical researches on salivary gland tumors including clinicopathologic characteristis and behavior, preoperative adjunctive diagnosis, mechanism, prevention and treatment of distant metastasis of salivary adenoid cystic carcinoma, and histogenesis of salivary gland tumor. These studies have improved our knowledge on the clinical, histopathological, cytological, imaging features, and biobehavior of different types of slivary gland tumors. We have also suggested related principles of management, modified the operative methods of benign tumor of parotid gland. Our efforts have raised the standards of diagnosis and treatment of salivary gland tumors.展开更多
文摘目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软件包分析量表的信度、效度和反应度。结果:量表总的克朗巴赫系数和分半信度分别为0.725和0.701;12个条目可提取4个因子,累计方差贡献率为65.4%;以SF-36中文版和FACT-H&N的头颈特异性子量表FACT-HN为效标,其效标效度分别为0.543和0.738;量表能敏感地区分已知的2组口腔癌患者术前QOL的差异及口腔癌患者QOL随时间的变化。结论:UW-QOL第4版具有良好的信度和反应度,其测定结构呈多维性,可用于中国人口腔癌患者生存质量的测量。
文摘口腔颌面部间隙感染(oral and maxillofacial space infections,OMSI)是颌面部潜在筋膜间隙的感染,是口腔颌面部的常见疾病。OMSI病例具有耐药菌感染增多、重症感染增多、致死风险增加等特点。为提高OMSI的治愈率,其治疗原则与方法需与时俱进。因此,依据国内部分专家当前诊治OMSI的临床经验,结合国际同行治疗经验,本文从术前检查、检查结果解读、经验性用药原则、手术处理原则、术后换药原则、智齿冠周炎相关间隙感染的防治策略、血糖监测与控制、物理因子治疗原则、路德维希咽峡炎治疗和围手术期护理等10个方面进行系统性总结,形成共识,以期逐步实现我国口腔颌面外科同行诊治OMSI的规范化与标准化,最终达到提高我国OMSI的诊疗水平的目的。
文摘Salivary gland tumors are a group of the most common tumors in the oral and maxillofacial region. They have features with complicated histopathologic classification and wide distribution. There is little knowledge on the clinicopathologic characterics and clinical behaviors of salivary gland tumors of various locations and subtype. The management of salivary gland tumors is also contraversial. Biopsy is not suggested because of seeding of tumor cells. Therefore adjunctive methods are important for preoperative diagnosis. Since 1985, our research group has performed a series of basic and clinical researches on salivary gland tumors including clinicopathologic characteristis and behavior, preoperative adjunctive diagnosis, mechanism, prevention and treatment of distant metastasis of salivary adenoid cystic carcinoma, and histogenesis of salivary gland tumor. These studies have improved our knowledge on the clinical, histopathological, cytological, imaging features, and biobehavior of different types of slivary gland tumors. We have also suggested related principles of management, modified the operative methods of benign tumor of parotid gland. Our efforts have raised the standards of diagnosis and treatment of salivary gland tumors.
