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Title: 精巣腫瘍に対する高位精巣摘出術および化学療法・放射線療法後の精神的, 社会的, 性的活動性に関する考察
Other Titles: Quality of life in patients with testicular cancer after high orchiectomy, radiation therapy or chemotherapy
Authors: 大山, 伸幸  KAKEN_name
森, 啓高  KAKEN_name
三輪, 吉司  KAKEN_name
秋野, 裕信  KAKEN_name
金丸, 洋史  KAKEN_name
岡田, 謙一郎  KAKEN_name
斎川, 茂樹  KAKEN_name
棚瀬, 和弥  KAKEN_name
守山, 典宏  KAKEN_name
村中, 幸司  KAKEN_name
池田, 英夫  KAKEN_name
Author's alias: OYAMA, Nobuyuki
MORI, Hirotaka
MIWA, Yoshiji
AKINO, Hironobu
OKADA, Kenichiro
SAIKAWA, Shigeki
TANASE, Kazuya
MORIYAMA, Norihiro
IKEDA, Hideo
Keywords: Testicular cancer
Psychosocial state
Sexual function
Issue Date: Nov-1999
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 45
Issue: 11
Start page: 787
End page: 792
Abstract: 1)精巣腫瘍患者のADLをアンケート調査し,33名より解答を得た. 2)化学療法中のADLは抗癌剤による消化器症状の出現とその程度に依存する傾向を有し,制吐剤の適正な投与が必要と考えられた. 3)退院後の生活満足度では化学療法群で最も低く,未婚率も高かった.患者の婚姻状況が,退院後の患者のADLに少なからず影響を与える. 4)患者全般に退院後の性機能が低下し,RPLND施行群では性機能の低下も著明であった.RPLNDに際しては可能なかぎり神経温存に努めることが重要である
We evaluated the physical or psychosocial states of testicular cancer patients receiving orchiectomy, radiation therapy and chemotherapy to assess their quality of life during and after treatment. The subjects were 33 post-treatment patients with testicular cancer who responded to the questionnaire we mailed to them. The quality of life score during chemotherapy showed a decrease, which was accompanied by gastrointestinal symptoms induced by anti-cancer drugs. With regard to the difference in adjuvant treatment types, the surveillance group showed the highest score in the satisfaction of daily life. Moreover, married patients tended to be satisfied with daily life more than non-married patients. With regard to sexual or erectile function, scores of testicular cancer patients, especially in the retroperitoneal lymph node dissection group, were inferior to these of normal volunteers. In conclusion, the physical or psychosocial states after treatment for testicular cancer depend not only on treatment type but also marriage status.
PubMed ID: 10637745
Appears in Collections:Vol.45 No.11

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