Wilmoth M C, Townsend J
Cancer Pract. 1995 Sep-Oct;3(5):279-85.
The purpose of this study was to investigate the effects of lumpectomy and mastectomy on female sexual behaviors. It is assumed frequently that lumpectomy causes fewer sexual sequelae for the patient. Although review of the literature indicated consensus regarding the advantage of lumpectomy in preserving body image, no such consensus exists regarding preservation of female sexuality. The literature also was unclear regarding treatment and demographic factors that may be useful in identifying patients at risk for sexual difficulties. A convenience sample of 165 women participated in the study. Data were collected using the Sexual Behaviors Questionnaire and the Watts' Sexual Functioning Questionnaire. Findings indicate that no significant difference existed in sexuality between women treated by lumpectomy and those treated by mastectomy. Other factors with a significant positive effect on sexuality included a history of minimal alcohol use, absence of chemotherapy treatment, and tamoxifen use. Counseling women and their partners about the sexual side effects of cancer treatments is an important part of the health professional's role.
本研究的目的是调查乳房肿块切除术和乳房切除术对女性性行为的影响。人们常常认为乳房肿块切除术给患者带来的性方面的后遗症较少。尽管文献综述表明，在保留身体形象方面乳房肿块切除术的优势已达成共识，但在保留女性性功能方面却不存在这样的共识。关于哪些治疗和人口统计学因素可能有助于识别有性功能障碍风险的患者，文献也尚无定论。165名女性的便利样本参与了该研究。使用《性行为问卷》和《瓦茨性功能问卷》收集数据。研究结果表明，接受乳房肿块切除术的女性和接受乳房切除术的女性在性功能方面不存在显著差异。对性功能有显著积极影响的其他因素包括少量饮酒史、未接受化疗以及使用他莫昔芬。就癌症治疗的性副作用向女性及其伴侣提供咨询是健康专业人员职责的重要组成部分。
