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目的 调查妇科恶性肿瘤妇女手术前后的生活情况。方法 以个别问卷的方式调查随机选取 1994.1～1998.12在我院诊治的 83例妇科恶性肿瘤病人 ,其中卵巢癌患者 5 4例 ,子宫内膜癌患者 19例 ,宫颈癌患者 8例 ,绒癌患者 2例。并将卵巢癌、子宫内膜癌、宫颈癌、绒癌的患者分为四组 ,比较术前、术后生活的情况。结果 5 7.8%的妇科恶性肿瘤妇女存在着长期精神压抑。卵巢癌患者中 5 8.9%的妇女有癌症家族史 ,明显高于其他组。卵巢癌和子宫内膜癌的患者工作压力大、长期心情压抑的比例明显高于宫颈癌患者 ,而以绒癌患者最少 (P <0 .0 5 )。术前 79.5 %妇女认为有权知道病情 ,而实际真正术前了解病情者仅占 43 .4% ,86.7%的患者希望医生关心她们的生活细节 ,88.0 %的妇女需要医生关心性方面的问题 ,几乎所有妇女都希望能有这方面的咨询门诊。结论 相当数量的妇科恶性肿瘤妇女有长期精神压抑历史 ,其中以卵巢癌和子宫内膜癌更为突出 ,医生应重视日常生活中心情因素对肿瘤的影响 ,术前使患者对疾病有一定认识 ,术后关心患者的生活细节 ,包括性生活。有癌家族史者应定期行妇科检查。
Objective To investigate the life of gynecological malignant tumors before and after surgery. Methods A total of 83 cases of gynecologic malignant tumors diagnosed and treated in our hospital from 1994.1 to 1998.12 were randomly selected. Methods 54 cases of ovarian cancer, 19 cases of endometrial cancer, 8 cases of cervical cancer, 2 cases of choriocarcinoma example. And ovarian cancer, endometrial cancer, cervical cancer, choriocarcinoma patients were divided into four groups, compared preoperative and postoperative life situation. Results 7.88% of women with gynecological malignancies have long-term depression. Of the 8.98% of women with ovarian cancer who had a family history of cancer, they were significantly higher than the other groups. Patients with ovarian cancer and endometrial cancer had a higher working pressure and a longer-term depressed mood than patients with cervical cancer, while those with choriocarcinoma had the least (P <0.05). 79.5% of women thought that they had the right to know the disease before surgery, and only 43.4% actually understood the disease before surgery. 86.7% of the patients wanted the doctors to care about the details of their life, 88.0% needed the doctor’s care, Almost all women want to have consultation clinics in this area. Conclusion A considerable number of women with gynecologic malignancies have long-term mental depression. Among them, ovarian cancer and endometrial cancer are more prominent. Doctors should pay attention to the influence of mood factors in daily life on the tumor. Before the operation, patients have certain understanding of the disease, Concerned patients after the life details, including sexual life. Have a family history of cancer gynecological examination should be regularly.