An investigation of life quality of patients after two different acoustic neuroma resections

Abstract

Background: Patients may suffer postoperative facial nerve injury, hearing loss, or other postoperative complications after the operation, which seriously affect their postoperative life quality.

Aims/objectives: To investigate the differences in QOL (quality of life) of patients with acoustic neuroma resection by the translabyrinthine or retrosigmoid approach.

Material and methods: Patients with acoustic neuroma resection in our department were enrolled in this experimental study, among which fifty patients underwent the translabyrinthine approach resection, the other 50 patients underwent the retrosigmoid approach resection. Different scores by the SF-36 scale between these two groups of patients one month after discharge were then analyzed.

Results: Scores of patients undergoing the retrosigmoid approach were higher in the three dimensions of Social Functioning, Role-emotional and Mental Health than those of patients undergoing the translabyrinthine approach with statistical significance. However, scores of patients undergoing the translabyrinthine approach were higher in the two dimensions of Body Pain and Vitality than those of the patients undergoing the retrosigmoid approach.

Conclusions and significance: The results indicated that individual nursing interventions for different patients are necessary to improve the QOL of patients after hospitalization. Moreover, the operated patients with translabyrinthine approach were more advantage than patients with retrosigmoid approach.

Chinese abstract

背景：患者术后可能发生术后面神经损伤、听力损失或其它术后并发症, 严重影响术后生活质量。

目的：通过经迷路或乙状窦后入路手术研究听神经瘤切除患者的QOL（生活质量）差异。

材料与方法：我科收治的听神经瘤切除患者参加本实验研究, 其中50例行经迷路手术切除术, 其余50例行乙状窦后入路切除术。分析这两组患者在出院后一个月的不同的SF-36量表得分。

结果：接受乙状窦后入路的患者在社交功能、角色-情绪和心理健康三个维度上的得分高于接受经迷路手术的患者, 其差异具有统计学意义。然而, 接受经迷路手术的患者在身体疼痛和活力的两个维度上多于接受乙状窦后入路的患者。

结论和意义：结果表明, 不同患者的个人护理干预是提高住院患者生活质量的必要条件。此外, 经迷路手术治疗的患者比接受乙状窦后入路手术的患者更有优势。

Keywords:

• Acoustic neuroma
• translabyrinthine approach
• retrosigmoid approach
• SF-36 scale
• quality of life
• nursing intervention

Disclosure statement

No potential conflict of interest was reported by the authors.