甲状腺切除术对性功能的影响

The Impact of Thyroidectomy on Sexual Function

有临床证据显示甲状腺切除术可引起性功能改变,特别是勃起功能障碍。既往有许多研究探索了甲状腺切除术后患者出现一系列的身体变化,如甲状腺激素水平异常、慢性虚弱、体重增加、焦虑、抑郁等,这些身体和心理变化都是性功能改变的原因。目前针对甲状腺切除术对性功能的影响缺乏大样本的研究,其中的具体机制也尚不明确,因此未来需进一步研究这两者的关系。本文对甲状腺切除术对性功能的影响进行综述,本综述提示临床医师应该关注甲状腺切除术对患者性功能产生的不利影响,也为制定适合的治疗方案提供依据。

There is clinical evidence that thyroidectomy can cause sexual changes, especially erectile dysfunc-tion. Many previous studies have explored a series of physical changes in patients after thyroidec-tomy, such as abnormal thyroid hormone levels, chronic weakness, weight gain, anxiety, depression, etc. These physical and psychological changes are the causes of sexual function changes. At present, there is a lack of large sample research on the impact of thyroidectomy on sexual function, and the specific mechanism is not clear, so the relationship between the two needs to be further studied in the future. This article reviews the impact of thyroidectomy on sexual function. This review suggests that clinicians should pay attention to the adverse effects of thyroidectomy on the sexual function and provides a basis for formulating a suitable treatment plan.