| Summary: | 碩士 === 中臺科技大學 === 健康產業管理研究所 === 100 === Most schwannoma occurred in head and neck. Schwanmomas patients had nerve injury after operation. The aim of this study is to analyze the head and neck schwannomas patients that postoperative nerve injury and recurrence cost more medical fees. The medical costs for schwannomas care are growing to compare with the gradual of benign tumor. The study want to evaluate the medical expenses of the head and neck schwannomas patients that postoperative nerve injury, in order to facilitate the effectiveness assessment.
The resource of the data was collected from January 2003 to December 2010 in Taichung Veteran Hospital. The total sample size is 69 head and neck schwannoma patients. This study is a retrospective study. Statistical method contain contingency coefficient and chi-square test, one-way ANOVA and independent-sample t-test.
The results indicate female are more easy to have head and neck schwannomas than male with the mean age of diagnosis at 47.84 years. Most of head and neck schwannomas has less than 2cm tumor. The most common observation was found along the facial nerve and auditory nerve. Tumor size and preoperative nerve symptoms would associate with tumor location. Tumor location, preoperative nerve symptoms and treatment would significantly affect postoperative nerve injury.
The findings of this study suggest to establish the standard operating procedures of caring the schwannomas patients, so that patients and his family become familiar with medical staff in the care knowledge and skills. The schwannomas patients can be treated effectively to reduce the physical and psychological harm and reduce the waste of medical resources.
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