복회음절제술 환자의 성기능에 영향을 미치는 수술 후 인자
Factors Affective Sexual Function after Abdominoperineal Resection for Patients with Rectal Cancer
유장학, 김희철, 조영규, 남궁환, 김미숙, 이혜옥, 유창식, 김진천,
소속 상세정보
유장학 ( Yoo Jang-Hak )
울산대학교 의과대학 외과학교실
김희철 ( Kim Hee-Cheol )
울산대학교 의과대학 외과학교실
조영규 ( Cho Young-Kyu )
울산대학교 의과대학 외과학교실
남궁환 ( Namgung Hwan )
울산대학교 의과대학 외과학교실
김미숙 ( Kim Mi-Sook )
울산대학교 의과대학 외과학교실
이혜옥 ( Lee Hae-Ok )
울산대학교 의과대학 외과학교실
유창식 ( Yu Chang-Sik )
울산대학교 의과대학 외과학교실
김진천 ( Kim Jin-Cheon )
울산대학교 의과대학 외과학교실
KMID : 0356720020180040234
Abstract
Background: Abdominoperineal resection (APR) combined with autonomic nerve preservation (ANP) is proven to reduce sexual dysfunction. However, Sexual dysfunction after APR combined ANP occurs as many as 59% of case.
Purpose: The aims of this study were to assess prognostic value of various postoperative factors affective sexual function after APR combined with ANP and to suggest a clinical relevant factors for the improvement of sexual function.
Methods: This was a cross sectional descriptive study. Data were collected using individual-based interviews from 63 patients who underwent APR during the period of Feb. 2001 and April. 2001. The tool for this study was developed by the researcher through modification of the QLQ-CR38 (European Organization for Research and Treatment of Cancer, 1999).
Results: The severity of sexual function showed significant differences according to occupation, intervals after operation, colostomy irrigation. Intervals of longer than 18 month after operation was associated with better sexual function.
In multiple regression analysis, colostomy related problems, colostomy irrigation, colostomy complications, intervals after operation, recurrence affected sexual function significantly.
Conclusions: Colostomy related problems, colostomy irrigation, colostomy complications, intervals after operation and recurrence appear to be associated with sexual function after APR.
키워드
성기능;복회음절제술;결장루
Sexual function;Abdominoperineal resection;Colostomy
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