[1]段 赟,马子越,马 超,等.男性骨盆骨折继发性功能障碍的相关危险因素分析[J].医学信息,2024,37(09):92-96.[doi:10.3969/j.issn.1006-1959.2024.09.017]
　DUAN Yun,MA Zi-yue,MA Chao,et al.Analysis of Risk Factors Related to Sexual Dysfunction of Male Pelvic Fracture[J].Journal of Medical Information,2024,37(09):92-96.[doi:10.3969/j.issn.1006-1959.2024.09.017]
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男性骨盆骨折继发性功能障碍的相关危险因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年09期
页码:
92-96
栏目:
论著
出版日期:
2024-05-01

文章信息/Info

Title:
Analysis of Risk Factors Related to Sexual Dysfunction of Male Pelvic Fracture
文章编号:
1006-1959（2024）09-0092-05
作者:
段 赟; 马子越; 马 超; 等
（1.新疆医科大学第一附属医院骨科，新疆 乌鲁木齐 830000；2.新疆医科大学第六附属医院骨科，新疆 乌鲁木齐 830000；3.新疆医科大学附属中医医院骨科，新疆 乌鲁木齐 830000）
Author(s):
DUAN Yun; MA Zi-yue; MA Chao; et al.
(1.Department of Orthopaedics,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China;2.Department of Orthopaedics,the Sixth Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China;3.Department o
关键词:
骨盆骨折; 性功能障碍; 勃起功能; 危险因素
Keywords:
Pelvic fracture; Sexual dysfunction; Erectile function; Risk factors
分类号:
R683.3；R698
DOI:
10.3969/j.issn.1006-1959.2024.09.017
文献标志码:
A
摘要:
目的 分析男性骨盆骨折继发性功能障碍的危险因素，以期改善患者预后。方法 回顾性分析2018年12月-2021年12月在3家新疆大型三甲医院收治的162例男性骨盆骨折患者，采用国际勃起功能问卷-5（IIEF-5）评估患者的性功能，通过单因素分析受伤年龄、受伤后评价时间、致伤原因、骨盆骨折类型、不同骨折模式、手术入路等因素是否与骨盆骨折继发性功能障碍相关。应用多因素Logistic回归分析进一步明确独立危险因素。结果 单因素分析发现，受伤年龄、受伤后评价时间、致伤原因、手术入路等因素对骨盆骨折继发性功能障碍无明显影响，而骨盆骨折分型、骶骨骨折、耻骨上下支骨折、耻骨联合分离对继发性功能障碍的影响差异有统计学意义（P＜0.05）。多因素Logistic回归分析结果表明，DenisⅡ型（OR=3.939）和DenisⅢ型（OR=4.864）骶骨骨折、双侧耻骨上下支骨折（OR=3.688）、耻骨联合分离（OR=11.625）是男性骨盆骨折继发性功能障碍的独立危险因素（P＜0.05）。结论 DenisⅡ型或DenisⅢ型骶骨骨折、双侧耻骨上下支骨折、耻骨联合分离是男性骨盆骨折患者继发性功能障碍的关键危险因素，应谨慎评估不同骨盆骨折类型及骨折模式继发性功能障碍的风险，及时与泌尿外科医师联合制定最佳的诊疗方案，以利于改善患者预后。
Abstract:
Objective To analyze the risk factors related to sexual dysfunction of male pelvic fracture, in order to improve the prognosis of patients.Method A retrospective analysis of 162 male patients with pelvic fractures admitted to three large tertiary hospitals in Xinjiang from December 2018 to December 2021 was conducted. The International Index of Erectile Function-5 (IIEF-5) was used to evaluate the sexual function of patients. Univariate analysis was used to analyze whether factors such as age of injury, evaluation time after injury, cause of injury, type of pelvic fracture, different fracture modes, and surgical approach were related to sexual dysfunction of pelvic fracture. Multivariate Logistic regression analysis was used to further clarify the independent risk factors.Results Univariate analysis showed that factors such as age of injury, evaluation time after injury, cause of injury, and surgical approach had no significant effect on sexual dysfunction of pelvic fracture, while pelvic fracture classification, sacral fracture, superior and inferior pubic ramus fracture, and pubic symphysis separation had statistically significant effects on sexual dysfunction (P<0.05). Multivariate Logistic regression analysis showed that Denis type Ⅱ (OR=3.939) and Denis type Ⅲ (OR=4.864) of sacral fractures, bilateral superior and inferior pubic ramus fractures (OR=3.688), pubic symphysis separation (OR=11.625) were independent risk factors for sexual dysfunction of male pelvic fractures (P<0.05).Conclusion Denis type Ⅱ or Denis type Ⅲ of sacral fractures, bilateral superior and inferior pubic ramus fractures, and pubic symphysis separation are the key risk factors for sexual dysfunction in male patients with pelvic fractures. The risk of sexual dysfunction in different pelvic fracture types and fracture modes should be carefully evaluated, and the best diagnosis and treatment plan should be formulated in time in combination with urologists to improve the prognosis of patients.

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更新日期/Last Update: 1900-01-01