医学信息2024，Vol.37Issue(9)：92-96,5.DOI:10.3969/j.issn.1006-1959.2024.09.017
男性骨盆骨折继发性功能障碍的相关危险因素分析
Analysis of Risk Factors Related to Sexual Dysfunction of Male Pelvic Fracture
摘要
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.关键词
骨盆骨折/性功能障碍/勃起功能/危险因素Key words
Pelvic fracture/Sexual dysfunction/Erectile function/Risk factors分类
医药卫生引用本文复制引用
段赟,马子越,马超,王小挺,谢增如..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(9):92-96,5.基金项目
国家自然科学基金项目(编号:82260409) （编号:82260409）
