当麻木和刺在压缩性神经病变中发挥作用性功能时
Tiffany N Bridges1, Adam S Kohring1, Alexis A Kasper2
1Department of Orthopaedic Surgery, Jefferson Health New Jersey, Stratford, NJ.
Journal of hand surgery global online
|December 20, 2024
概括
手腕道和肘部道综合征手术显著改善了许多患者的性功能. 手术后,个体报告说,由于减少了神经疼痛和麻醉,性活动更容易,满意度增加.
科学领域:
- 神经学 神经学
- 整形外科手术 整形外科手术
- 性健康 性的健康
背景情况:
- 压缩性神经病变,如手腕道综合征和肘部道综合征,会影响日常活动和睡眠.
- 这些疾病对患者亲密性和性功能的影响仍未得到充分研究.
- 上肢神经的压缩会导致感觉和运动缺陷,影响身体相互作用.
研究的目的:
- 为了研究手腕道释放和肘部道释放手术对性功能的影响.
- 为了比较上肢压缩性神经病变的手术前后患者的性功能.
- 了解患者报告的与手术治疗后亲密关系相关的结果.
主要方法:
- 在2021年1月至2022年8月期间,对患者 (18岁以上) 进行单边或双边手指道和/或肘部道释放 (开放或内镜) 的回顾性分析.
- 匿名电子调查评估了手术前和手术后患者的性功能,手术后3个月至2年.
- 收集的数据包括手术前的症状 (麻醉,疼痛,虚弱,运动限制) 和手术后的性活动恢复.
主要成果:
- 47%的患者报告说,由于上肢症状导致了手术前性活动中断.
- 手术前的挑战包括麻醉 (84%),疼痛 (61%),力量减少 (53%) 和运动限制 (40%).
- 手术后,61%的患者经历了更轻松的性活动,主要是由于降低了麻醉 (69%) 和疼痛 (67%),32%的人报告增加了性满意度.
结论:
- 手腕道和肘部道综合征的手术减压对性功能产生了积极的影响.
- 性活动和满意度的改善与神经压缩症状的缓解有关.
- 通过手术恢复身体功能可以提高整体生活质量,包括亲密健康.
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