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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Sexual problems after total or partial laryngectomy.
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Sexual problems after total or partial laryngectomy.

机译：完全或部分喉切除术后的性问题。

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摘要

OBJECTIVES: To investigate sexual problems that can occur after laryngeal and hypopharyngeal cancer surgery and to specify possible influencing factors. STUDY DESIGN: Multi-institutional cross-sectional study. METHODS: Two hundred six patients were interviewed in person using the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire, Head and Neck Module (EORTC QLQ-H&N35), the Hospital Anxiety and Depression Scale, and a structured interview assessing alcohol and tobacco consumption, sociodemographic data, and specific sexual problems. Type of surgery, tumor site, and tumor stage were documented according to the participants' medical records. Multivariate analysis of variance was used to assess the independent impact of each factor. RESULTS: More than half of the patients in our study reported having reduced libido and sexual enjoyment after treatment. Sixty percent considered it an important issue for their contentment with life. Sexual difficulties were found to beunrelated with gender, formal education, alcohol and tobacco consumption, type of surgery (partial vs. total laryngectomy), radiotherapy, and tumor site. Psychological distress (F = 46.27, P < .001) was seen to have a strong independent impact on the occurrence of sexual difficulties and stage of disease (F = 4.50, P < .05) and age (F = 4.79, P < .05), a moderate independent impact. CONCLUSIONS: Reduced libido and sexual enjoyment is a common problem after laryngeal and hypopharyngeal cancer surgery. However, it is not caused by the oncological treatment but rather by the cancer itself. Depression is often associated with sexual problems. Both should be discussed in medical consultations with head and neck cancer patients when appropriate to provide adequate treatment.
机译：目的：调查在喉和下咽癌手术后可能发生的性问题，并指出可能的影响因素。研究设计：多机构横断面研究。方法：使用欧洲癌症研究和治疗组织，生活质量问卷，头颈模块（EORTC QLQ-H＆N35），医院焦虑和抑郁量表以及评估酒精含量的结构化访谈对26例患者进行了亲自访谈。烟草消费，社会人口统计学数据以及特定的性问题。根据参与者的病历记录手术类型，肿瘤部位和肿瘤分期。使用方差的多变量分析来评估每个因素的独立影响。结果：我们研究中超过一半的患者报告治疗后性欲和性享受减少。 60％的人认为这是他们满足生活的重要问题。发现性困难与性别，正规教育，烟酒消费，手术类型（部分喉切除术与全喉切除术），放疗和肿瘤部位无关。心理困扰（F = 46.27，P <.001）被认为对性障碍的发生和疾病阶段（F = 4.50，P <.05）和年龄（F = 4.79，P <。 05），适度的独立影响。结论：减少性欲和性享乐是喉和下咽癌手术后的普遍问题。但是，它不是由肿瘤治疗引起的，而是由癌症本身引起的。抑郁通常与性问题有关。在适当的情况下，应与头颈癌患者进行医学会诊，以讨论两种治疗方法。

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