直肠癌术生生活质量研究现状和进展

目的 了解直肠癌术后生活质量（ＱＯＬ）评估的临床应用现状。方法 采用文献回顾的方法对目前直肠癌术后患者生活质量评估的研究进展加以综述。结果 直肠癌术后出现各种远期、近期并发症，对患者的生理、社会和心理健康方面产生影响。生活质量评估是一种多方面的研究，通过特定设计的调查问卷，测定的术后生活质量有明显改善，而且为直肠癌治疗方式、术式选择及直肠重建方式的选择提供临床依据。结论 直肠癌术后生活质量的研究日益受到重视，不仅要提高患者生存率，降代癌肿复发率，而且要有一个满意的生活质量。对直肠癌根治术的患者生活质量的评估必须常规加以讨论，以便指导临床，获得最佳疗效。

ADVANCES AND CURRENTSTATUS IN THE STUDY ON QUALITY OF LIFE AFTER OPERATION OF RECTAL CANCER

Objective To summarize the advances in the clinical application of the quality of life(QOL) assessment after surgery of rectal cancer. Methods The recent literatures on the advances in the studies on the QOL assessment following the treatment of rectal cancer were reviewed. Results After surgery of rectal cancer, the patients might suffer from short and/or long term of various complications affecting the physical, social and psychological aspects of their well being. The QOL assessment included many aspects of the studies. Global QOL scores as measured by the specific questionnaires improved significantly after surgery. It had provided clinical evidences of therapeutic methods, operative treatment of choices and bowel reconstructed procedures for the patients with rectal cancer.Conclusion The QOL studies after surgery for rectal cancer are of increasing importance. Apart from the improvements of the survival rates and the recurrence free period, it is essential to provide an acceptable QOL postoperatively. The QOL assessment for the guidance of clinical treatment should be discussed routinely for a patient with potentially curable rectal carcinoma so that the excellent outcome could be achieved.