患者在宫癌中经历了辐射诱导的绝经:一个范围审查
L J Jacques1, M Clarkson1, P M Humphrey2
1Sheffield Hallam University, United Kingdom.
Radiography (London, England : 1995)
|February 12, 2026
概括
辐射诱导更年期 (RIM) 对宫癌幸存者的影响很大.
科学领域:
- 在瘤学瘤学.
- 妇科 妇科 妇科 妇科
- 辐射疗法 辐射疗法
背景情况:
- 辐射诱导更年期 (RIM) 是用于宫癌的盆腔放射治疗的常见,未被认可的后果.
- RIM显著影响幸存者的生活质量 (QoL),心理健康和性认同.
- 治疗性放射学家需要了解RIM对整体,以人为中心的护理的生存影响.
研究的目的:
- 绘制有关经验的现有文献,QoL影响,以及宫癌治疗后RIM患者的支持性干预措施.
- 识别与RIM管理有关的研究和临床实践中的差距.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查.
- 搜索包括PubMed,PsycINFO,谷歌学者和灰色文学 (2025年1月至5月).
- 包括21项英语研究 (2006-2025年),采用QuADS工具提取数据并评估质量.
主要成果:
- 审查发现了21项研究,主要来自高收入国家,对多元人口的数据有限.
- RIM始终与高症状负担和 QoL 损害有关.
- 幸存者报告了令人痛苦的更年期变化和有限的临床医生认可;HRT和多学科护理显示出希望,但面临着获取和公平挑战.
结论:
- RIM是一个重要的生存问题,管理不一致,研究不足.
- 对于早期识别,包容性评估和放射科医生积极参与幸存者途径的关键需求.
- 整合更年期教育,PROM和敏感的沟通可以改善生活质量和为宫癌幸存者提供公平的支持.
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