Yılmaz M, Yener M, Yollu U, Akil F, Haciyev Y, Yargic I, Karaman E, Cansiz H
Otolaryngology Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
Psychiatry Department, Istanbul Medical School, Istanbul University, Istanbul, Turkey.
Clin Otolaryngol. 2015 Aug;40(4):349-54. doi: 10.1111/coa.12378.
The purpose of this study was to assess sexual function, affective disorders and self-esteem in patients who were surgically treated for laryngeal cancer.
Retrospective, blind, cross-sectional study.
Single tertiary cancer centre.
Seventy four patients who were operated on Istanbul University Cerrahpasa School of Medicine Otorhinolaryngology Department between 2008 and 2012 were classified according to the type of the operation as total laryngectomy (Group 1) and partial laryngectomy (Group 2).
Sexual dysfunction, depression and self-esteem were evaluated with The Arizona Sexual Experiences Scale (ASEX), Beck's Depression Inventory (BDI) and Rosenberg Self-Esteem Scale (RSES), respectively.
Average ASEX scores of the Group 1 were (13.98 ± 6.32) and Group 2 were (13.08 ± 4.96) without statistically significant difference (P = 0.537). Mean BDI score of Group 1 was (13.20 ± 10.41) higher than Group 2 (7.76 ± 8.14) and the difference was significant statistically (P = 0.026). Mean RSES scores of Group 1 and Group 2 were 20.68 ± 5.33 and 19.25 ± 4.70, respectively, again without significant difference (P = 0.262). However, when the average scores of each item of Rosenberg Scale were compared, significant difference was found in d4 (2.37 ± 0.78; 1.64 ± 0.99; P = 0.001), d6 (1.22 ± 1.05; 1.84 ± 1.14; P = 0.023), d10 (2.55 ± 2.39; 1.28 ± 1.49; P = 0.018) and d11 (1.35 ± 0.95; 2.00 ± 1.41; P = 0.021). BDI scores were correlated with RSES scores, and ASEX scores were correlated with age.
The patients with total laryngectomy seem to have more psychological problems that must be addressed in the postoperative period.
本研究旨在评估接受喉癌手术治疗患者的性功能、情感障碍和自尊水平。
回顾性、盲法横断面研究。
单一的三级癌症中心。
2008年至2012年间在伊斯坦布尔大学塞拉哈帕夏医学院耳鼻喉科接受手术的74例患者，根据手术类型分为全喉切除术组（第1组）和部分喉切除术组（第2组）。
分别采用亚利桑那性体验量表（ASEX）、贝克抑郁量表（BDI）和罗森伯格自尊量表（RSES）评估性功能障碍、抑郁和自尊水平。
第1组ASEX平均得分为（13.98±6.32），第2组为（13.08±4.96），差异无统计学意义（P = 0.537）。第1组BDI平均得分（13.20±10.41）高于第2组（7.76±8.14），差异有统计学意义（P = 0.026）。第1组和第2组RSES平均得分分别为20.68±5.33和19.25±4.70，差异无统计学意义（P = 0.262）。然而，比较罗森伯格量表各项目的平均得分时，发现d4（2.37±0.78；1.64±0.99；P = 0.001）、d6（1.22±1.05；1.84±1.14；P = 0.023）、d10（2.55±2.39；1.28±1.49；P = 0.018）和d11（1.35±0.95；2.00±1.41；P = 0.021）存在显著差异。BDI得分与RSES得分相关，ASEX得分与年龄相关。
全喉切除术患者似乎存在更多心理问题，术后必须加以解决。
