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在腹腔大动脉动脉瘤的选择性内血管手术后的性功能
Johan Nilsson1, Joakim Nordanstig2, Per Skoog2
1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Hybrid and Interventional Surgery, Vascular Surgery Unit, Sahlgrenska University Hospital, Sweden.
概括
腹腔大动脉动脉瘤的内血管大动脉修复会影响性功能,许多患者没有意识到风险. 在手术后,男性的性兴趣下降,但整体性健康改善,而女性报告性兴趣和高潮能力低.
科学领域:
- 血管外科 血管外科
- 性健康研究性健康研究
- 患者报告的结果
背景情况:
- 腹腔大动脉瘤 (AAA) 修复是一种常见的手术.
- 性功能是生活质量的重要方面.
- 血管内大动脉修复 (EVAR) 对性功能的影响尚不清楚.
研究的目的:
- 评估在选择性EVAR之前和一年后的AAA患者的感知性功能.
- 为了比较男性和女性患者之间的性功能结果.
主要方法:
- 使用男性性功能-4问卷和额外的性功能项目进行了一项描述性定量研究.
- 从前性随机临床试验中的子研究中收集的数据.
- 统计分析包括描述性统计和弗里德曼测试.
主要成果:
- 88%的男性患者在EVAR之前没有收到关于潜在的性功能风险的信息.
- 男性患者报告说,性兴趣和射精能力下降,但EVAR后的整体性健康状况得到改善.
- 与基线相比,女性患者在EVAR后对性感兴趣较低,达到高潮的能力降低.
结论:
- 在AAA患者中,Evar显著影响性健康和性功能.
- 患者往往没有了解与手术相关的性风险,这凸显了需要更好的患者教育的需要.
- 改善临床医生沟通对于确保关于性健康结果的知情同意至关重要.
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