评估下腰椎间盘的患者的性功能:术前和术后状态的比较
Göksal Günerhan1, Can Aykanat2, Ozhan Merzuk Uçkun1
1Department of Neurosurgery, University of Health Science, Ankara City Hospital, Ankara, Turkey.
概括
下腰椎间盘 (LDHs) 可以导致性功能障碍. 对LDH的微分隔切除手术显著改善了男性和女性患者的性功能,恢复了性欲和整体性健康.
科学领域:
- 神经科学是一个神经科学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
背景情况:
- 性功能依赖于复杂的神经通路,包括下腰椎内化泌尿生殖器官.
- 下腰椎间盘 (LDHs) 可以压缩这些神经结构,可能会损害性神经调节.
- 这项研究调查了LDHs对性欲和性功能的影响.
研究的目的:
- 评估下腰椎间盘 (LDHs) 对性功能的影响.
- 评估LDHs的微隔膜切除术后性功能障碍的改善情况.
主要方法:
- 一项前性研究,包括61名性活跃的单级LDH患者接受微分切除术.
- 使用国际勃起功能指数 (IIEF-5) 评估男性的性功能,使用女性女性性功能指数 (FSFI) 评估女性的性功能.
- 使用视觉模拟尺度 (VAS) 评估疼痛. 健康的伴侣作为对照对象.
主要成果:
- 所有20名女性患者 (100%) 呈现了手术前的性功能障碍,75%的患者在手术后出现改善 (p < 0.001).
- 41名男性患者中有38名 (92.7%) 患有手术前性功能障碍,68.4%的患者经历了微隔膜切除术后的改善 (p < 0.001).
结论:
- 在患有下腰椎间盘的患者中,微分隔切除术显著改善了手术前的性功能障碍.
- 对LDH的手术干预对性健康和性功能产生了积极的影响.
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