双侧全髋关节置换术后的生活质量评估。

Evaluation of sexual quality of life after bilateral total hip arthroplasty surgery.

机构信息

Department of Orthopedics and Traumatology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey.

Department of Physiotherapy and Rehabilitation Antalya, Faculty of Health Sciences, Akdeniz University, Antalya, Turkey.

出版信息

Orthop Traumatol Surg Res. 2022 Feb;108(1):103125. doi: 10.1016/j.otsr.2021.103125. Epub 2021 Oct 23.

DOI:10.1016/j.otsr.2021.103125

PMID:34700057

Abstract

BACKGROUND

Patients experience limitation of hip joint movement due to coxarthrosis, such limitation may affect the quality of sexual activity in patients. We aimed at investigating the postoperative quality of sexual life and evaluating the clinical satisfaction of patients who underwent bilateral total hip arthroplasty.

HYPOTHESIS

Postoperative sexual life quality improvement in patients undergoing bilateral total hip arthroplasty increases clinical satisfaction.

METHODS

The study included patients who underwent staged bilateral total hip arthroplasty surgery between June 2016 and January 2019. Each patient was evaluated using the sexual quality of life-female (SQOL-F) or Sexual quality of life-male (SQOL-M) questionnaire containing similar questions for both genders regarding sexual satisfaction.

RESULTS

Among all the individuals, 32 were sexually active (13 females, 19 males), and seven were not sexually active (6 females, 1 male) before the surgery. Among the 29 individuals (18 females, 11 males) who thought that their sexual life was negatively affected even before the surgery, 10 (1 female, 9 males) were found not to be negatively affected. Moreover, the sexual life of 18 females was negatively affected 27.93±14.5 months (range, 12-43) before hip arthroplasty and 11 males was negatively affected 19.5±11.0 months (range, 8-31) before the surgery as well. Twenty (10 females, 10 males) individuals stated an improvement in their sexual life, 13 (6 females, 7 males) individuals stated no change. Unfortunately, 6 (3 females, 3 males) individuals stated a degradation of their sexual activity after hip arthroplasty. Patients gained more than 60 degrees of hip range of motion and experienced significant reduction in pain after hip joint movements after surgery.

DISCUSSIONS

In our study, we evaluated sexual limitations before and after total hip arthroplasty surgery and postoperative sexual quality of life. Due to the increased range of motion of patients after surgery, the proportion of sexually active individuals increased and the sexual quality of life reached a satisfactory level.

LEVEL OF EVIDENCE

III; retrospective cohort study.

摘要

背景

由于髋关节骨关节炎，患者的髋关节活动受限，这可能会影响患者的性生活质量。我们旨在研究双侧全髋关节置换术后患者的性生活质量，并评估接受双侧全髋关节置换术患者的临床满意度。

假设

双侧全髋关节置换术后，患者的性生活质量提高会增加临床满意度。

方法

该研究纳入了 2016 年 6 月至 2019 年 1 月期间接受分期双侧全髋关节置换术的患者。每位患者均使用女性性生活质量问卷（SQOL-F）或男性性生活质量问卷（SQOL-M）进行评估，这两个问卷均包含两性关于性生活满意度的相似问题。

结果

所有患者中，32 人（13 名女性，19 名男性）在手术前有性生活，7 人（6 名女性，1 名男性）无性生活。在 29 名（18 名女性，11 名男性）认为手术前性生活受到负面影响的患者中，10 人（1 名女性，9 名男性）发现性生活未受影响。此外，18 名女性的性生活在髋关节置换术前 27.93±14.5 个月（12-43 个月）受到负面影响，11 名男性的性生活在髋关节置换术前 19.5±11.0 个月（8-31 个月）受到负面影响。20 名（10 名女性，10 名男性）患者表示性生活改善，13 名（6 名女性，7 名男性）患者表示性生活无变化。不幸的是，6 名（3 名女性，3 名男性）患者表示髋关节置换术后性生活质量下降。患者术后髋关节活动范围增加超过 60°，髋关节活动后疼痛明显减轻。