乳腺癌对患者配偶性功能的影响  

Impact of breast cancer on the sexual function of the patients'male partners

作　　者：周志豪 梁培禾[1] 陈衍霖 范润泽 胡健 ZHOU Zhi-hao;LIANG Pei-he;CHEN Yan-lin;FAN Run-ze;HU Jian(Department of Urology,The Second Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China;Department of Urology,Qijiang District People's Hospital,Chongqing 401420,China)

机构地区：[1]重庆医科大学附属第二医院泌尿外科,重庆400010 [2]綦江区人民医院泌尿外科,重庆401420

出　　处：《中华男科学杂志》2022年第1期26-31,共6页National Journal of Andrology

基　　金：第四批重庆市中青年医学高端后备人才;重庆市基础科学与前沿技术专项(cstc2017jcyjAX0435);2019年重庆市留学人员回国创业创新支持计划。

摘　　要：目的:了解女性乳腺癌患者配偶的性行为及性功能变化与临床变量和社会人口学变量之间的潜在关系。方法:采用横断面研究,2020年5月至2020年10月收集病例,共纳入196例23~59岁的女性乳腺癌患者的男性配偶。通过在线问卷或电话访问方式,填写男性性功能问卷(BSFI),并收集社会人口学变量和临床变量。结果:受访者年龄(46.13±7.75)岁,至调查时患者患癌时间(1.58±0.48)年。受访者性功能障碍发生率在患者患癌前(9.68%)后(49.76%)存在显著差异(P<0.001);主要类型是性欲低下(38.3%)。患者接受乳腺根治性切除术(OR=5.533,P=0.017,95%CI=1.366~22.412)和接受放疗者(OR=3.439,P<0.044,95%CI=1.058~11.171)其配偶出现性欲低下问题概率更高。受访者性欲低下的发生率的受自身年龄(OR=1.134,P=0.001,95%CI=1.053~1.222)影响显著。结论:女性患乳腺癌及治疗情况可能影响配偶性功能状态。医务工作者有必要对影响患者及其配偶性功能的因素加以关注,以采取相应的干预措施。Objective:To investigate the sexual behavior and sexual function of the male partners of breast cancer patients and their potential relationship with socio⁃demographic and clinical variables.Methods:In this cross⁃sectional study,we conducted an investigation among 196 male partners(aged 23-59 years)of breast cancer patients between May 2020 and October 2020.We com⁃pleted the Male Sexual Function Questionnaire(BSFI)by online and telephone interview with the subjects and collected relevant socio⁃demographic and clinical variables.Results:The average age of the interviewees was(46.13±7.75)years old,and the mean du⁃ration of the patients'breast cancer was(1.58±0.48)years at the time of the investigation.The incidence rate of sexual dysfunction in the male partners of the patients was dramatically higher after the onset of breast cancer than before it(49.76%vs 9.68%,P<0.01).Low libido was found to be the main type of sexual dysfunction(38.3%)among the male subjects,with an even high inci⁃dence rate among those whose wives received mastectomy(OR=5.533,P=0.017,95%CI:1.366-22.412)and radiotherapy(OR=3.439,P<0.044,95%CI:1.058-11.171)and significantly correlated with age(OR=1.134,P=0.001,95%CI:1.053-1.222).Conclusion:Breast cancer and its treatment methods may affect the sexual function of the male partners of the pa⁃tients.It is necessary for doctors to pay attention to the factors affecting the sexual function of the patients and their partners so as to take appropriate intervention measures.

关 键 词：乳腺癌 配偶 性功能 性欲低下 

分 类 号：R698[医药卫生—泌尿科学]