尿道损伤患者修复重建术后性功能状况调查分析  

Sexual function survey after urethral repair reconstructive surgery

作　　者：张晓霞[1] 简百录[1] 高鹏[1] 陈荣莉[1] 雷娟[1] 

机构地区：[1]解放军451医院泌尿外科,西安710054

出　　处：《中国性科学》2016年第7期10-13,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨尿道损伤患者修复重建术后性功能状况及危险因素,以期注重防范,提高临床效果。方法:随机选取2011年1月至2013年4月76例尿道损伤患者为研究对象,均予修复重建术,观察术后在性功能上变化情况,并对受影响的患者进行危险因素分析,采用非条件Logistic回归法进行多因素分析。结果:术前IIEF-5评分平均为(23.13±2.14)分,术后IIEF评分平均为(11.14±1.32)分,术后1年有21例患者出现性功能障碍,发生率为27.63%;危险因素中,单危险因素有文化程度低(高中以下)、年龄小(<30岁)、婚龄短(<10年)、配偶态度、性观念和性心理消极、伴粉碎性骨盆骨折、医师年资低(<10年)、悲观心理(P<0.05);而和尿道损伤类型无关(P>0.05)。其中年龄、文化程度、婚龄、配偶态度、性观念和性心理情况、骨盆骨折类型、医师年资、心理状态是术后性功能障碍独立危险因素(P均<0.05)。结论:尿道损伤后患者修复重建术对患者的影响因素较多,在临床上要加强防范。Objectives： To investigate the sexual function status and risk factors of patients after urethral reconstructive surgery,in order to improve the prevention and clinical results. Methods： 76 urethral injury patients from January 2011 to April 2013 were randomly selected and correspondingly given reconstructive surgery. Changes in sexual function were observed. Risk factors were analyzed using Logistic regression method for multivariate analysis. Results： The preoperative IIEF- 5 score was（ 23. 13 ± 2. 14） points and postoperative IIEF score was（ 11.14 ± 1. 32） points. 21 patients had sexual dysfunction a year after treatment,the incidence rate of 27. 63%. The risk factors included low level of education（ high school or less）,younger age（ 〈30 years）,short marriageable age（ 〈10 years）,spouses attitudes,sexual attitudes and passive sex psychology,having comminuted fracture,low doctors seniority（ 〈10 years） and pessimistic psychology（ P〈0. 05）; regardless of urethral injury type（ P〉0. 05）,where age,education level,age of marriage,spouse attitudes,sexual attitudes and psychological conditions,pelvic fracture type,physicians seniority,mental state postoperative sexual dysfunction are independent risk factors（ P〈0. 05）. Conclusion： Many factors may influence patients＇ sexual function after urethral repair reconstructive surgery,which should be paid more attention to in clinic.

关 键 词：尿道损伤 修复重建术 性功能 

分 类 号：R698[医药卫生—泌尿科学]