外伤性脊髓损伤对男性性功能影响的临床研究

Research of traumatic spinal cord injury on male sexual function

目的探讨脊髓损伤对男性性功能的影响。方法对35例外伤性脊髓损伤患者分为完全性损伤组和不完全性损伤组，随访2年，采用国际勃起功能表（IIEF-5）评定勃起功能，观察脊髓损伤的治疗时间、损伤节段、损伤等级以及尿失禁、肌肉萎缩等因素对患者性功能的影响。结果完全性损伤组中，患者伤前IIEF-5评分为21．13±0.81分，伤后2年IIEF-5评分为3．13±0．51分，不完全性损伤组中，患者伤前IIEF-5评分为21．40±1．39分，伤后2年IIEF-5评分为11．05±6．35。在两组中，不同的治疗时间、恢复时间、损伤节段、损伤等级、肌肉萎缩和尿失禁的有无对性功能的影响均存在显著差异（P〈0．05）。结论外伤性脊髓损伤对男性性功能有明显的影响；治疗时间、恢复时间、损伤节段、损伤等级的不同和并发症等因素对性功能的损伤程度和恢复均有不同的影响。

Objectives Discussion on spinal cord injury on the impact of male sexual function. Methods 35 cases of traumatic spinal cord injury patients were divided into groups and completely injury incomplete injury group, 2 - year follow - up, Table adopt international erectile function （ IIEF - 5 ） for erectile dysfunction, Observation of the treatment of spinal cord injury, injury segment, damage levels and urinary incontinence, muscle atrophy and other factors on the impact of sexual function. Results Complete injury group, Patients with pre - injury IIEF -5 score of 21.13 ± 0.81 points, 2 years after injury IIEF -5 score of 3.13 ± 0.51 points, Incomplete injury group, the patients with pre- injury IIEF- 5 score of 21.40 ± 1.39 points, 2 years after injury IIEF -5 score of 11.05 ± 6.35. In the two groups, different treatment time after injury, recovery time, segmental injury, damage levels, muscle atrophy and urinary incontinence on the availability of the impact of sexual function were significant differences （ p 〈 0. 05 ）. Conclusions Traumatic spinal cord injury on male sexual function significantly impact, the treatment time, recovery time, damage segments, different levels of injury and complications such factors as the extent of the damage sexual function and recovery have different effects.