绝经前乳腺癌幸存者的性健康
Surabhi Garg1, Anand Kumar Mishra1, Kul Ranjan Singh1
1Department of Endocrine Surgery, Shatabdi Hospital, King George's Medical University, Phase IIUttar Pradesh, Shamina Road, Lucknow, India.
Indian journal of surgical oncology
|September 6, 2024
概括
性功能障碍显著影响乳腺癌幸存者,82.6%的患者经历了治疗后的问题. 乳腺保护手术 (BCS) 在短期随访中显示出比乳腺切除更好的性功能结果.
科学领域:
- 在瘤学瘤学.
- 性医学性医学性医学性医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 性健康是乳腺癌患者生存的关键,但经常被忽视的方面.
- 乳房切除和乳房保护手术 (BCS) 等治疗方法可以深刻影响女性的性行为.
- 了解性功能障碍的发生率和影响对于改善患者的生活质量至关重要.
研究的目的:
- 为了确定乳腺癌幸存者的性功能障碍的发生率.
- 评估乳腺切除与BCS对女性性行为的影响.
- 评估激素治疗对乳腺癌幸存者的性功能的影响.
主要方法:
- 一项前性研究,涉及150名非转移性,绝经前乳腺癌幸存者.
- 参与者在治疗后4周和3个月完成了女性性功能指数 (FSFI) 问卷.
- 乳房切除和BCS组之间,以及激素和非激素治疗组之间的性功能得分进行了比较.
主要成果:
- 观察到性功能障碍的高发病率,在治疗后3个月影响了82.6%的幸存者.
- 乳腺保护手术 (BCS) 幸存者报告了与乳腺切除术幸存者相比,在3个月后的性功能得分明显更好.
- 虽然在统计学上并不显著,但在特定的治疗组中注意到一些欲望,兴奋,滑,高潮和疼痛的减少.
结论:
- 性功能障碍在乳腺癌幸存者中普遍存在,无论治疗类型如何.
- 与乳腺保护手术相比,乳房切除与较差的短期性功能结果有关.
- 在幸存者计划中解决性健康问题是必不可少的,需要更长的随访才能充分了解治疗效果.
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