年轻宫颈癌患者放疗术式对性生活影响的状况调查

【摘要】  目的：对比组织间碘-125粒子植入放射治疗和铱-192近距离后装放射治疗的两种方法，探讨不同方法治疗后患者的健康恢复情况和性生活质量问题。方法：采用两种放射治疗方法，即碘125粒子组织间永久植入放射治疗和铱-192近距离后装放射治疗。后装组(40例)是在进行宫颈癌广泛子宫切除术后采用铱-192近距离后装放射治疗，每周1次，每次常规剂量600～800 cGy，以A点为剂量参照点，一般6～8次，后装放射一般从第1～2周开始。粒子组(43例)是在手术结束关腹前将粒子植入盆腔指定位置，入选后装组或粒子组是根据患者的经济状况和意向决定的。结果：治疗6个月后血清性激素水平粒子组FSH、LH的平均值明显高于后装组，差异具有统计学意义(P﹤0.05)。治疗6个月后进行性问题问卷调查显示：愉快程度、性欲、阴道情况等问题都显示粒子组与后装组治疗效果有可比性(P﹤0.05)。结论：碘-125放射性粒子植入术治疗早、中期宫颈癌具有安全有效、创伤小、并发症少、近期疗效显著、提高性生活质量等优点。

【关键词】  宫颈癌;放射治疗;性生活质量

Survey about the affection of sex life in young cervical cancer patients with radiation-surgery GENG Jin-ping, AN Li-bin, LI Wen-tao (Nursing College of Jilin University, Changchun 130021, China)

　　Abstract：ObjectiveComparison between the organization of Iodine-125 implantation of radioactive treatment and Iridium-192 close range afterloading radiation therapy，to explore patients′ post-recovery health and quality of sex life after different methods of treatment.MethodTaking two methods，the organization of Iodine-125 implantation of radioactive treatment and Iridium-192 close range afterloading radiation therapy，group of Iridium-192(n=40) took the Iridium-192 close range afterloading radiation therapy after cervical cancer radical hysterectomy,once a week，600～800 cGy each time,refering to A as reference,6～8 times.Group of Iodine-125(n=43) implanted the particle to the specified location in intraperitoneal before operation ending.ResultsAfter 6 months′ treatment，the average level of FSH,LH of group Iodine-125 was higher than group of Iridium-192，the difference was significant (P<0.05).The survey of sex life after 6 months′ treatment showed that the degree of pleasure，sexual desire，vaginal situation and other issues in the group Iodine-125 were more effective than group of Iridium-192(P<0.05).ConclusionThe organization of Iodine-125 implantation of radioactive treatment has the advantages of safe,less trauma,less complications,signif

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