关节镜检查改善了受理性伴侣的性功能,这些伴侣患有肌肌阻塞综合征
Nicole D Rynecki1, Matthew T Kingery, Brittany DeClouette
1Department of Orthopedic Surgery, New York University Langone Health, New York, NY, USA.
Clinical orthopaedics and related research
|February 27, 2024
概括
雌激腺 (FAI) 显著影响性满意度,特别是对于那些处于受体角色的人来说. 关节镜术可以改善疼痛,特别是在曲/引位置,但残留疼痛可能会持续在许多患者中.
科学领域:
- 整形外科手术 整形外科手术
- 性健康 性健康 性健康
- 疼痛管理 疼痛管理
背景情况:
- 由于关节脚 (FAI) 的部疼痛可能会因为部运动范围 (ROM) 恶化而对性满意度产生负面影响.
- 关于FAI对性满意度和手术后改善的影响的研究有限,尽管患者对此感兴趣.
- 性角色 (透与接受) 对FAI相关性功能障碍和手术结果的影响尚不清楚.
研究的目的:
- 评估FAI和关节镜对性活动的影响,特别是比较透性和受体性角色.
- 为了确定接受性角色的患者是否会因为FAI症状而经历更大的性功能障碍.
- 评估接受性角色的患者在关节镜术后的性活动恢复时间更长,功能改善更大.
主要方法:
- 在2017-2021年期间,对106名因FAI而接受关节透视术的患者进行了回顾性队列研究.
- 患者填写了调查问卷,评估性交期间,手术前和手术后的部疼痛,以及他们的性角色.
- 仅在透作用中的患者与接受作用 (仅限或组合) 的患者之间的比较.
主要成果:
- 在手术前,61%的患者报告部疼痛干扰性交;接受性参与者更有可能经历这种干扰 (OR 5).
- 在术后,两组之间没有观察到恢复性活动的显著差异 (中位数为6周).
- 虽然这两组都得到改善,但接受性参与者在部曲/绑架姿势中经历了更大的疼痛减轻,但51%仍然报告残留疼痛.
结论:
- 与FAI相关的部疼痛显著影响性关系,特别是对接受性参与者.
- 关节镜术允许在6周左右恢复性活动,在特定位置的接受性伴侣方面有显著的改善.
- 患者,特别是那些在接收作用,应就潜在的残留疼痛咨询FAI后关节镜.
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