阴茎癌患者阴茎部分切除术后性功能与社会心理状况的研究  

Study on Sexual Function and Social Psychological Status after Partial Penectomy in Penile Cancer Patients

作　　者：田启维 胡希恒[2] 李杨乐[2] TIAN Qi-wei;HU Xi-heng;LI Yang-le(Depuarment of Urology,Changde First Hospital of Traditional Chinese Medicine,Changde,Hunan,415000)

机构地区：[1]常德市第一中医医院泌尿外科,湖南常德415000 [2]中南大学湘雅医院泌尿外科,湖南长沙410008

出　　处：《医学临床研究》2020年第9期1290-1293,共4页Journal of Clinical Research

基　　金：国家自然科学基金青年科学基金项目(项目批准号81902605)。

摘　　要：[目的]评估阴茎癌患者阴茎部分切除术后的性功能与社会心理状况,探究术后恋者性功能的下降与焦虑、抑郁等因素的关系。[方法]选取本院2015年12月至2020年1月收治的阴茎鳞状细胞癌患者共127例,记录患者的性功能(国际勃起功能指数调查问卷,即1IEF-15评分)、年龄、身体质量指数、术后松弛状态的用茎长度、手术方法(阴茎部分切除或联合双侧腹股沟淋巴结清扫)以及心理状况[焦虑自评量(SAS)和自评量表抑郁(SDS)评分]。对比术前和术后各评分的变化,采用单因素和多因素线性回归来分析每个1EF-15评估项目与其他指标之间的关系。[结果]最终96例患者纳入本研究,中位年龄58岁,阴茎中位长度4.3 cm。患者术后勃起功能、性高潮能力,性欲、性生活满意度和总体满意度较术前均显著下降,SAS和SDS评分较术前显著上升。单纯阴茎部分切除术和联合腹股沟淋巴结清扫术恋者术后的IIEF-15评分无统计学差异。勃起功能、性高潮能力、性欲和性生活满意度与SAS.SDS评分呈显著负相关。勃起功能、性欲、总体满意度与年龄呈负相关.性生活满意度与术后阴茎长度呈正相关。[结论]阴茎癌患者阴茎部分切除术后性功能降低。焦虑和抑郁程度上升,且性功能水.平与焦虑和抑郁程度呈显著负相关。此外,性功能还与年龄呈负相关,与术后阴茎长度呈正相关。[Ohjective]To evaluate the sexual funetion and social psyechological status after partial penectomy due to penile cancer,and explore the relationship of sexual dysfunction with anxiely and depression in penile cancer patients after partial penectomy.[Methods] Between December 2015 and January 2020,a total of 96 patients treated with partial penec-tomy due to penile cancer in our hospital were prospectively analyzed in the study.Sexual function(International Erectile Function Index Questionnaire.1IEF-15).age.body mass index(BMI),penile length(PL.)in the flaceid state after partial penectomy,surgical method(partial penectomy or partial penectomy combined with bilateral inguinal lymph node dissee tion)and psychological factors(Self rating Anxiety Scale/SAS and Sell-Raing Depression Scale/SDS scores)were as-sessed.The IIEF-15.SAS and SDS scores of preoperative and postoperative were compared.Univariate and multivariate linear regression analyses were performed.[Results]Ninety-six patients were included in our study.The median age was 58 years old,and the median penis length(PL)was 4.3 cm,The preoperative IIEF-15,SAS and SDS scores were signifi-cantly different from the postoperative scores.Postoperative erectile function,orgasm ability.sexual desire.satisfaction with sexual life and overall satisfaction were significantly lower than those before surgery.and SAS and SDS scores were significantly higher than those before surgery.There was no ststically significant difference in the IIEF-15 scores of pu-tients treated with partial pencctomy and partial penectomy+bilateralinguinal lymph node dssction.Erectile function,orgasmic ability.sexual desire,and intercourse satisfaction were negatively associated with SAS/SDS score.Results also showed that erectile function,sexual desire,and overall satisfaction were negatively associated with age.while intercourse satisfaction was positively associated with PL.[Conclusion]The sexual function of patients with penile cancer decreases af-ter partial pencctomy,and the degree of anxie

关 键 词：阴茎肿瘤/外科学 心理学 社会 性行别 

分 类 号：R737.27[医药卫生—肿瘤]