摘要
目的 研究脊柱骨折合并不完全性脊髓损伤患者的性功能状况。 方法 对 73例脊柱骨折合并不完全性脊髓损伤患者进行回顾性分析 ,通过Frankel分级评定神经功能 ,采用勃起功能国际指数评价患者的性功能 ,并对性功能障碍患者进一步测定其反射性勃起和精神性勃起的情况。 结果 最后随访时 2 1例患者存在性功能障碍 ,FrankelB级和C级之间、D级和E级之间性功能障碍发生率差异有显著性意义 (P <0 .0 5 ) ,C级和D级之间性功能障碍发生率差异无显著性意义 (P >0 .0 5 )。 2 1例患者中 ,1例患者既无反射性勃起 ,也无精神性勃起 ;9例患者只有反射性勃起 ;3例患者只有精神性勃起 ;8例患者为混合性勃起。 结论 在脊柱脊髓损伤患者中 ,有较高的性功能障碍发生 ,随着脊髓损伤程度的加重 ,性功能障碍的发生率升高。当胸腰段以上脊髓损伤时 ,精神性勃起受到损害 ;当骶段脊髓损伤时 ,反射性勃起可受到损害。
Objective To review and analyze the sexual function of patients with spinal fractures complicated by incomplete paraparesis. Methods A total of 73 patients with incomplete paraparesis resulted from spinal fractures were retrospectively analyzed. Frankel Grade was used to determine the neurologic function and international index of ecrectile function (IIEF) to evaluate patients' sexual function. The patients with sexual dysfunction also were examined for reflex erection and psychogenic erection function. Results There were 21 patients with sexual dysfunction. Through χ2 test, significant difference was found between Frankel grade B and grade C as well as between grade D and grade E (P<0.05), no significant difference was found between grade C and grade D. One of 21 patients had neither reflex erection nor psychogenic erection, 9 patients only reflex erection, 3 patients only psychogenic erection, 8 patients mixed erection. Conclusions There is sexual dysfunction in patients of spinalfractures with incomplete paraparesis and the sexual dysfunction rate increaseswith aggravation of spinal cord injury. When the injury level is above thoracolumbar spinal cord, psychogenic erection will be impaired. If sacral spinal cord is injured, reflex erection will be impaired.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2003年第5期271-273,共3页
Chinese Journal of Trauma
