Salford Royal NHS Foundation Trust, Salford, UK.
Emerg Med J. 2019 Aug;36(8):508-510. doi: 10.1136/emermed-2019-208777.2.
A shortcut review of the literature was carried out to examine the association of sexual dysfunction in the context of new-onset low back pain, with cauda equina syndrome (CES). Five papers were identified as suitable for inclusion using the reported search strategy. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of the best papers are tabulated. It is concluded that clinicians appear to be poor at recording this feature during assessment, but between 12% and 96%, patients with confirmed CES will report the presence of new-onset sexual dysfunction at presentation when asked. It appears that this can also be a single isolated red flag feature in the context of low back pain and as such should be a mandatory part of any clinical assessment that seeks to evaluate the risk of impending CES.
进行了文献的快速回顾，以研究新发生的腰痛与马尾综合征（CES）背景下的性功能障碍之间的关联。使用报告的搜索策略确定了五篇适合纳入的论文。最佳论文的作者、日期和国家/地区、研究的患者群体、研究类型、相关结果、研究局限性都列在表格中。研究结果表明，临床医生在评估过程中似乎不太擅长记录这一特征，但在 12%至 96%的确诊 CES 患者中，当被问及是否存在新发生的性功能障碍时，他们会报告存在这种情况。CES 发生之前，这种情况也可能是腰痛的一个孤立的危险信号特征，因此应该成为任何旨在评估即将发生的 CES 风险的临床评估的强制性部分。
