Wall Peter D H, Hossain Munier, Ganapathi Muthu, Andrew John G
Department of Trauma and Orthopaedics, Ysbyty Gwynedd, Bangor - UK.
Hip Int. 2011 Mar-Apr;21(2):199-205. doi: 10.5301/HIP.2011.6518. Epub 2011 Apr 5.
It is not clear if regaining sexual activity is important for patients undergoing total hip arthroplasty (THA) or whether hip surgeons are aware of and manage the concerns of their patients in this context. A questionnaire survey was conducted on 100 patients undergoing THA immediately before and six months after surgery. All members of the British Hip Society with a valid email address were surveyed. 86 patients responded. 71 were sexually active and of these, 55 (77%) believed their hip pathology had been limiting their sex lives. 39 (55%) would have preferred further information than was provided. 51 (72%) patients had recommenced sexual activity by six months post operation. 83 of 140 surgeons responded. 30 (36%) surgeons enquired preoperatively if symptoms were interfering with patients' sex lives and 32 (39%) provided written information about sexual activity following THA. 55 (66%) surgeons believed four weeks after surgery patients could resume sexual activity but only 21 (25%) surgeons regularly advised patients about an appropriate time to resume sexual activity. Sexual activity is adversely affected in many patients awaiting THA and regaining sexual function is important to these patients. Most surgeons do not discuss this with their patients and may not be aware of their patients' expectations in this respect.
对于接受全髋关节置换术（THA）的患者而言，恢复性活动是否重要，以及髋关节外科医生在此方面是否了解并处理患者的担忧，目前尚不清楚。在100例接受THA的患者手术前及术后6个月时分别进行了问卷调查。对英国髋关节协会所有有有效电子邮箱地址的成员进行了调查。86例患者做出了回应。71例有性活动，其中55例（77%）认为其髋关节病变限制了他们的性生活。39例（55%）希望得到比所提供的更多的信息。51例（72%）患者在术后6个月时已重新开始性活动。140名外科医生中有83名做出了回应。30名（36%）外科医生术前询问了症状是否影响患者的性生活，32名（39%）提供了关于THA后性活动的书面信息。55名（66%）外科医生认为术后4周患者可以恢复性活动，但只有21名（25%）外科医生定期就恢复性活动的合适时间向患者提供建议。许多等待THA的患者的性活动受到不利影响，恢复性功能对这些患者很重要。大多数外科医生没有与患者讨论这一问题，可能也不了解患者在此方面的期望。
