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宫颈癌与性功能

Carcinoma of the cervix and sexual function.

作者信息

Seibel M M, Freeman M G, Graves W L

出版信息

Obstet Gynecol. 1980 Apr;55(4):484-7.

PMID:7366904
Abstract

Forty-six patients were interviewed more than a year after treatment for carcinoma of the cervix to establish the effects of radiation therapy and of surgical therapy on sexual feelings and performance. Group 1 consisted of 22 patients who had undergone radiation therapy for stage I, II, or III cancer of the cervix. Group 2 consisted of 20 patients who had undergone hysterectomy with or without partial vaginectomy for carcinoma in situ. The irradiated patients experienced statistically significant decreases in sexual enjoyment, ability to attain orgasm, libido, frequency of intercourse, opportunity, and sexual dreams. The surgically treated group had no significant change in sexual function after treatment. Both groups experienced a change in self-image but did not feel that their partners or family viewed them differently. Myths about cancer and the actual effects of pelvic irradiation were found to have disrupted the sexual-marital relationships of many women. Therapeutic programs are discussed through which women can be helped through this difficult time in their lives.

摘要

46名宫颈癌患者在接受治疗一年多后接受了访谈,以确定放射治疗和手术治疗对性感受和性功能的影响。第一组由22名因I期、II期或III期宫颈癌接受放射治疗的患者组成。第二组由20名因原位癌接受子宫切除术(伴或不伴部分阴道切除术)的患者组成。经统计学分析,接受放射治疗的患者在性快感、达到性高潮的能力、性欲、性交频率、性机会和性梦方面均有显著下降。接受手术治疗的组在治疗后性功能没有显著变化。两组患者的自我形象都有改变,但她们觉得伴侣或家人对她们的看法没有不同。研究发现,关于癌症的误解以及盆腔放疗的实际影响破坏了许多女性的性婚姻关系。文中讨论了一些治疗方案,通过这些方案可以帮助女性度过她们生命中的这段艰难时期。

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1
Carcinoma of the cervix and sexual function.宫颈癌与性功能
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[Sexual rehabilitation of patients with cervix cancer].[宫颈癌患者的性康复]
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Early-stage cervical carcinoma, radical hysterectomy, and sexual function. A longitudinal study.早期宫颈癌、根治性子宫切除术与性功能。一项纵向研究。
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Sexual function after surgical and radiation therapy for cervical carcinoma.宫颈癌手术及放疗后的性功能
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Sexuality--the mature or childbearing years and the effect of gynecologic surgery.性征——成熟或生育年龄以及妇科手术的影响。
J Am Osteopath Assoc. 1979 Mar;78(7):509-14.
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Sexual functioning after vaginal hysterectomy or transvaginal sacrospinous uterine suspension for uterine prolapse: a comparison.阴道子宫切除术或经阴道骶棘韧带子宫悬吊术治疗子宫脱垂后的性功能:一项比较研究。
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引用本文的文献

1
Dilator Use After Vaginal Brachytherapy for Endometrial Cancer: A Randomized Feasibility and Adherence Study.子宫内膜癌阴道近距离放疗后使用扩张器:一项随机可行性和依从性研究。
Cancer Nurs. 2018 May-Jun;41(3):200-209. doi: 10.1097/NCC.0000000000000500.
2
Treatment for Gynecologic Cancer: A Review of the Effects on Female Sexuality.妇科癌症的治疗:对女性性功能影响的综述
Health Psychol. 1983 Spring;2(2):203-211. doi: 10.1037/0278-6133.2.2.203.
3
Surviving gynecologic cancer and coping with sexual morbidity: an international problem.
妇科癌症幸存者与应对性健康问题:一个国际性难题。
Int J Gynecol Cancer. 1994 Jul;4(4):225-240. doi: 10.1046/j.1525-1438.1994.04040225.x.
4
Sexual functioning among breast cancer, gynecologic cancer, and healthy women.乳腺癌、妇科癌症患者及健康女性的性功能。
J Consult Clin Psychol. 1985 Feb;53(1):25-32. doi: 10.1037//0022-006x.53.1.25.
5
Sexual functioning morbidity among cancer survivors. Current status and future research directions.癌症幸存者的性功能发病率。现状与未来研究方向。
Cancer. 1985 Apr 15;55(8):1835-42. doi: 10.1002/1097-0142(19850415)55:8<1835::aid-cncr2820550832>3.0.co;2-k.