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目的 :了解妇科恶性肿瘤妇女术后性生活的情况。方法 :选取我院妇科 1994年 1月至 1998年 12月诊治的 81例恶性肿瘤术后的妇女 ,采用调查问卷方式进行逐一面对面调查 ,并将卵巢癌、子宫内膜癌、宫颈癌的患者分为三组 ,比较术后性生活的情况。结果 :81例患者有 33例 (40 .7% )术后有性生活 ,其中有 6 0 .7% (2 0 / 33)表现为性欲下降。卵巢癌、子宫内膜癌、宫颈癌三组妇女在性生活恢复时间、性生活频度以及性生活满意度等方面并无显著性差异 (P>0 .0 5 )。 81例患者对性方面问题的处理 ,有 15人 (18.5 % )咨询过医生。 71例 (87.7% )患者希望医生在性问题上给予帮助 ,并表示希望开设此类门诊。结论 :手术范围不是决定术后性功能状态的唯一因素 ,心理上的压抑与恐惧常常是导致术后性功能异常的重要方面。因此 ,重视妇科恶性肿瘤患者的心理状态 ,将对改善这些妇女术后的性功能有重要帮助。
Objective: To understand the postoperative sexual life of women with gynecological malignancies. Methods: A total of 81 postoperative malignant tumors diagnosed and treated by our hospital from January 1994 to December 1998 were surveyed by face-to-face questionnaire. The patients with ovarian cancer, endometrial cancer and cervical cancer were divided into two groups For the three groups, more postoperative sex life situation. Results: Of the 81 patients, 33 (40.7%) had sex after surgery, of which 60.7% (20/33) showed decreased libido. Ovarian cancer, endometrial cancer, cervical cancer three groups of women in the recovery time, frequency of sexual life and sexual satisfaction, there was no significant difference (P> 0.05). Eighty-one patients (18.5%) consulted with doctors on the treatment of sexual problems. Seventy-one patients (87.7%) wanted doctors to help with sexual problems and expressed the hope of opening such clinics. CONCLUSIONS: The extent of surgery is not the only factor that determines the postoperative functional status. Psychological depression and fear are often important aspects of postoperative sexual dysfunction. Therefore, the emphasis on the psychological status of patients with gynecological malignancies, will improve these women’s postoperative sexual function is important help.