骨盆环骨折和勃起功能障碍 (PERFECD) - 3年后续的横截面研究
Gioia Rizzoli1,2, Florian A Schmid3, Franziska Kessler1,2
1Faculty of Medicine, University of Zurich, Raemistrasse 71, 8006, Zurich, Switzerland.
概括
骨盆环骨折,特别是前后压缩 (APC) 损伤,显著增加勃起功能障碍 (ED) 的风险,并长期降低生活质量 (QoL). 对于患有APC损伤的患者来说,对ED的早期查至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 骨盆环骨折可能导致相邻的泌尿器官损伤,包括延迟诊断勃起功能障碍 (ED).
- 评估骨盆环损伤后的长期生活质量 (QoL) 和ED率对于患者的结果至关重要.
研究的目的:
- 评估生活质量 (QoL) 和勃起功能障碍 (ED) 的发病率在男性患者至少3年后的骨盆环骨折.
- 为了确定与ED和降低QOL相关的特定的骨盆骨折类型.
主要方法:
- 调查了患有骨盆环损伤 (Young和Burgess分类) 和骨盆伤 (对照) 的成年男性患者.
- 使用简单表格12 (SF-12) 评估QOL,使用国际勃起功能指数5 (IIEF-5) 测量ED.
- 记录了ED的并发症和风险因素.
主要成果:
- 前后压缩 (APC) 骨折与更高的ED发病率有关,所有APC患者报告至少轻度ED.
- APC 损伤是较低 IIEF-5 评分的独立风险因素,类似于高血压和糖尿病.
- 垂直剪切骨折显示显著降低了QoL,特别是在物理角色功能中.
结论:
- 垂直剪切骨盆骨折与与APC或LC骨折相比在受伤后3年的显著较低的QOL有关.
- APC盆腔环损伤是发展ED的一个独立风险因素.
- 对于患有APC损伤的患者,建议对ED进行早期查和治疗.
相关概念视频
01:20Disorders of the Male Reproductive System
311
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
311
01:17Male Sexual Response: Erection & Ejaculation
1.5K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
1.5K