Analysis of Risk Factors Related to Sexual Dysfunction of Male Pelvic Fracture
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.
国家科技期刊平台
NSTL
万方数据
维普
