解放军医学院学报2024，Vol.45Issue(6)：596-601,6.DOI:10.12435/j.issn.2095-5227.2024.090
男性不稳定性骨盆骨折患者术后继发勃起功能障碍的关联因素分析
Factors associated with erectile dysfunction after surgically treated unstable pelvic fractures in men
王力 1马鑫 2贾通宇 1刘凡 3贾卓 2常骁 2李毅 4王春杨 2宋涛 2张立海4
作者信息
- 1. 解放军总医院第三医学中心泌尿外科,北京 100039||解放军医学院,北京 100853
- 2. 解放军总医院第三医学中心泌尿外科,北京 100039
- 3. 解放军医学院,北京 100853
- 4. 解放军总医院第四医学中心骨科,北京 100142
- 折叠
摘要
Abstract
Background Erectile Dysfunction(ED)is one of the main long-term complications in male patients with unstable pelvic fractures.However,its mechanism is unclear.Exploring the relationship between injury factors,fracture types,surgical factors and ED is important for early identification and intervention.Objective To analyze the correlated factors for erectile dysfunction in men with surgically treated unstable pelvic fractures.Methods A retrospective analysis was conducted on male patients with surgically treated unstable pelvic fractures at the First Medical Center of Chinese PLA General Hospital from January 2010 to December 2022.Univariate and multivariate logistic regression analysis were conducted to examine the impact of 10 factors on erectile dysfunction(ED)in men with surgically treated unstable pelvic fractures,including age of injury,trauma mechanism,Young-Burgess classification,fracture types,external genital injury,pubic symphysis diastasis,urethral injury,Injury Severity Score(ISS),surgical approach,and fixation hardware.Results Among 112 male patients with unstable pelvic fractures,49(43.75%)developed ED after surgery.Multivariate logistic regression analysis indicated that urethral injury(OR=3.765,P=0.003)and pubic symphysis diastasis(OR=8.059,P=0.014)were independent correlated factors for ED after surgically treated unstable pelvic fractures in men.Conclusion Urethral injury and pubic symphysis diastasis are important factors for the development of ED after surgically treated unstable pelvic fractures in men.It is essential to collaborate with urologist in formulating a treatment plan for the early detection and intervention of ED.关键词
勃起功能障碍/不稳定性骨盆骨折/关联因素分析/预后/创伤Key words
erectile dysfunction/unstable pelvic fracture/correlated factor analysis/prognosis/trauma分类
临床医学引用本文复制引用
王力,马鑫,贾通宇,刘凡,贾卓,常骁,李毅,王春杨,宋涛,张立海..男性不稳定性骨盆骨折患者术后继发勃起功能障碍的关联因素分析[J].解放军医学院学报,2024,45(6):596-601,6.
