在子宫癌后的子宫切除术后,尿路症状和性功能:一项前性队列研究
Mariana Alves Firmeza1, Natália Maria de Vasconcelos Oliveira2, Flávio Mendes Alves2
1Nursing Department, Federal University of Ceará, St Alexandre Baraúna, n.1115 - 1° floor, room 3 - Rodolfo Teófilo district, city of Fortaleza, state of Ceará, 60430-160, Brazil.
概括
宫癌的子宫切除术显著增加尿路症状和性功能障碍的风险. 与良性妇科疾病相比,患者经历了手术后的生活质量下降.
科学领域:
- 妇科瘤学 妇科瘤学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生活质量研究 研究 生命质量研究
背景情况:
- 宫癌 (CC) 每年在全球范围内影响50万名女性.
- 子宫切除术是宫癌的主要治疗方法.
- 阴道切除术对尿路和性功能的影响需要进一步研究.
研究的目的:
- 评估宫癌的子宫切除术对尿路症状和性功能的影响.
- 评估这些疾病对患者生活质量的影响.
主要方法:
- 一项队列研究比较了31名宫癌患者 (G-CCU) 与40名为良性妇科疾病 (G-PB) 进行子宫切除术的患者.
- 尿路症状 (KHQ),性功能 (FSFI) 和生活质量 (SF-36) 在基线,手术后1个月和4个月被评估.
- 使用统计分析来比较两组之间的结果.
主要成果:
- 在G-CCU组中,在手术后1个月内,尿道症状翻了一番,这种症状持续存在.
- 虽然G-PB的性功能障碍基线风险较高,但G-CCU的性功能障碍风险增加了手术后4个月.
- 在G-CCU组的女性报告说,一般和疾病特异性生活质量较差.
结论:
- 宫癌的子宫切除术与更高的尿路症状发生率有关.
- 由于宫癌而接受子宫切除术的患者面临性功能障碍的风险增加.
- 宫癌患者经历过子宫切除术后的生活质量下降.
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