Wang Bai-Liang, Yue De-Bo, Liu Bao Xing, Guo Wan-Shou
Department of Joint Surgery, China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, Beijing, 100029, China,
Eur J Orthop Surg Traumatol. 2014 Oct;24(7):1217-21. doi: 10.1007/s00590-014-1432-1. Epub 2014 Mar 25.
Patients with osteonecrosis of the femoral head (ONFH) have a severe impact on their health status, functionality and quality of life. Sexual life is an important component of the quality of life and is still a frequently neglected domain in patients with ONFH. The aims of the study were to evaluate the influence of the disease and the total hip arthroplasty (THA) surgery on quality of sexual life (QSL) in these patients.
A prospective, self-controlled study was done. 247 patients of ONFH who underwent unilateral or bilateral THA were asked to complete a standardized QSL questionnaire, and the score of QSL was evaluated preoperatively and at first year follow-up of post-THA operation.
The mean age of the patient was 46.8 (range 25-60) years. 194 cases (78.5%, 276 hips) were alcohol-induced ONFH. There is significant decrease (p = 0.026) in sexual relationship impairment on the 0-8 scale from pre-THA (5.3 ± 0.7) to post-THA (2.3 ± 0.4). There is no significant difference for effect on sexual function (p = 0.14) between pre-THA (2.3 ± 0.4) and post-THA (1.8 ± 0.3). There is significant improvement (p = 0.018) in overall sexual satisfaction degree of patients on the 1-5 scale from pre-THA (2.7 ± 0.2) to post-THA (4.7 ± 0.6), but no significant increase for sexual partner.
ONFH has impaired relationships with partner and overall sexual satisfaction degree of the male patients; THA has improved significantly relationships with partner and overall sexual satisfaction degree of the male patients, but no effect on sexual function of the patients and overall sexual satisfaction degree of sexual partner.
股骨头坏死（ONFH）患者的健康状况、功能和生活质量受到严重影响。性生活是生活质量的重要组成部分，但在ONFH患者中仍是一个经常被忽视的领域。本研究的目的是评估该疾病和全髋关节置换术（THA）手术对这些患者性生活质量（QSL）的影响。
进行了一项前瞻性、自身对照研究。247例接受单侧或双侧THA的ONFH患者被要求完成一份标准化的QSL问卷，并在术前和THA手术后第一年随访时评估QSL评分。
患者的平均年龄为46.8岁（范围25 - 60岁）。194例（78.5%，276髋）为酒精性ONFH。从THA术前（5.3±0.7）到术后（2.3±0.4），在0 - 8分的性关系损害评分上有显著下降（p = 0.026）。THA术前（2.3±0.4）和术后（1.8±0.3）对性功能的影响无显著差异（p = 0.14）。从THA术前（2.7±0.2）到术后（4.7±0.6），患者在1 - 5分的总体性满意度评分上有显著改善（p = 0.018），但性伴侣的总体性满意度无显著提高。
ONFH损害了男性患者与伴侣的关系以及总体性满意度；THA显著改善了男性患者与伴侣的关系以及总体性满意度，但对患者的性功能和性伴侣的总体性满意度无影响。
