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大型紧急腹部手术后手术后性功能障碍的患病率和影响:前性队列研究
Astrid Warmbier Jensen1,2, Julie Blockmann3, Jakob Burcharth1,2
1Emergency Surgery Research Group Copenhagen (EMERGE), Department of Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
World journal of surgery
|March 16, 2025
概括
在重大紧急腹部手术后,性功能障碍很常见,影响男性和女性. 这项研究强调了需要更好地为患者提供有关手术后性健康的咨询和护理.
科学领域:
- 手术 手术 手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 在盆腔或癌症手术后,性功能障碍经常被报告.
- 大型紧急腹部手术后性功能障碍的发生率没有得到充分的证据.
研究的目的:
- 在术后90天内调查性功能障碍的发生率.
- 在重大紧急腹部手术后检查性功能障碍的性别差异.
主要方法:
- 进行了一项单一中心前性队列研究.
- 180名接受重大紧急腹部手术的患者在术后30天和90天被评估.
- 使用简要的性症状检查清单 (BSSC) 评估性功能.
主要成果:
- 在男性和女性的手术后,性活动显著下降 (p < 0.001).
- 在手术30天后,38.3%的患者在手术前性活跃,手术后性活跃率降至17.2%. 在90天后,这是手术前的48.3%和手术后的32.7%.
- 在30天后,32.6%的人和在90天后26.8%的人报告了对性功能的不满,没有显著的性别差异.
结论:
- 大型紧急腹部手术导致两性共同的性功能障碍.
- 在性功能障碍或不满率方面没有显著的性别差异.
- 积极的性健康管理对于改善患者的治疗结果和生活质量至关重要.
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