Возможности улучшения качества жизни больных после субтотальной резекции пищевода и одномоментной эзофагогастропластики по поводу рака
Диссертация
На сегодняшний день для объективной оценки результатов лечения рака пищевода, наряду с летальностью, 3- и 5-летней выживаемостью необходимо оценивать качество жизни больных, которое является важным интегральным показателем, отражающим субъективную оценку пациентом своего состояния. Наиболее информативным и высокочувствительным инструментом для оценки качества жизни оперированных больных является… Читать ещё >
Содержание
- ГЛАВА I. Хирургическое лечение больных раком пищевода: функциональные результаты и качество жизни (обзор литературы)
- 1. 1. Актуальность проблемы рака пищевода
- 1. 2. Эволюция хирургического метода в лечении больных раком грудного отдела пищевода
- 1. 2. 1. Основные виды операций при раке грудного отдела пищевода
- 1. 2. 2. Краткая характеристика основных вариантов эзофагопластики
- 1. 2. 3. Выбор метода пластики
- 1. 2. 4. Замещение пищевода желудком: широкий желудочный стебель или узкая желудочная трубка?
- 1. 3. Краткая анатомо-физиологическая характеристика желудка
- 1. 3. 1. Экстрамуральная иннервация
- 1. 3. 2. Интрамуральная иннервация желудка
- 1. 3. 3. Пейсмекерная система желудка
- 1. 3. 4. Функции проксимального и дистального отделов желудка
- 1. 3. 5. Кровоснабжение широкого желудочного стебля
- 1. 4. Структура и причины функциональных нарушений после субтотальной резекции пищевода
- 1. 5. Методы коррекции моторно-эвакуаторных нарушений трансплантата
- 1. 5. 1. Применение эритромицина
- 1. 5. 2. Значение дренирующих желудок операций
- 1. 5. 3. Вагус-сохранные операции
- 1. 6. Методы оценки моторно-эвакуаторной функции желудочного трансплантата
- 1. 7. Качество жизни больных после субтотальной резекции пищевода по поводу рака
- 1. 7. 1. Общая характеристика качества жизни
- 1. 7. 2. Опросники, применяемые для оценки качества жизни онкологического больного
- 1. 7. 3. Оценка качества жизни больных раком пищевода при помощи комбинации опросников EORTC QLQ-C30 и QLQ-OES
- 2. 1. Распределение больных на группы
- 2. 2. Оценка питательного статуса
- 2. 3. Методика рентгенологического исследования моторно-эвакуаторной функции желудочного трансплантата
- 2. 4. Методика радиоизотопного исследования моторно-эвакуаторной функции трансплантата
- 2. 5. Методика анкетирования и оценки качества жизни
- 2. 6. Лекарственная стимуляция моторики и характеристика эритромицина
- 2. 7. Статистическая обработка полученных результатов
- 4. 1. Оценка питательного статуса
- 4. 2. Радиоизотопное и рентгенологическое исследование моторики желудочного трансплантата
- 3. 3. Качество жизни
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