右側結腸癌と左側結腸癌の術後1年間のQOL Quality of Life in Patients with Right or Left Colon Cancer

この論文にアクセスする

この論文をさがす

著者

    • 角田 明良 TSUNODA Akira
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 成田 和弘 NARITA Kazuhiro
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 渡辺 誠 WATANABE Makoto
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 松井 伸朗 MATSUI Nobuaki
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 竹中 弘二 TAKENAKA Koji
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 中尾 健太郎 NAKAO Kentaro
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine
    • 草野 満夫 KUSANO Mitsuo
    • 昭和大学一般・消化器外科 Department of General and Gastroenterological Surgery, Showa University, School of Medicine

抄録

根治度Aの手術が行われた右側結腸癌患者32例(R群)と左側結腸癌患者46例(L群)の術後1年間のquality of life(QOL)をEuropean Organization for Research and Treatment of Cancer QLQ-C30(C30)を用いて前向きに調査し,両群を比較した.QOLの経時的変動は,大多数の尺度で両群が類似の傾向を示した.症状尺度の「constipation」はR群では術前値と比べて,術後4, 5, 6, 12カ月の4ポイントで有意に改善したが,L群では有意な変動はなかった.各尺度を調査ポイント毎に両群間で比較すると,「global QOL」は術後2, 4, 7, 12カ月の4ポイントでR群がL群より有意に良好であった.「constipation」は術後すべてのポイントでL群がR群より有意に不良であった.以上より,左側結腸癌患者の術後QOLは右側結腸癌患者と比較してC30の「constipation」が顕著であり,便秘が意識されることが明らかになった.<br>

Thirty-two patients with right colon cancer (group R) and 46 patients with left colon cancer (group L), who underwent curative resection, participated in a prospective longitudinal study in which detailed information was collected through standardized measures of the European Organization for Research and Treatment of Cancer QLQ-C30. Postoperative patterns of changes in patients' scores for most of the scales were similar in each group. Constipation scores in group R were significantly better on four occasions than the preoperative values, but in group L, there were no significant postoperative changes in the scores. Global QOL scores in group R were significantly better on four occasions of 12 postoperative examinations than those in group L. Constipation scores in group L were significantly worse on all postoperative examinations than those in group R. In the patients with left colon cancer, constipation scores after surgery were pronounced compared with those in the patients with right colon cancer.<br>

収録刊行物

  • 日本大腸肛門病学会雑誌  

    日本大腸肛門病学会雑誌 61(7), 378-383, 2008-07-01 

    The Japan Society of Coloproctology

参考文献:  21件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

ページトップへ