Northumbria Healthcare NHS Trust, Newcastle Upon Tyne, United Kingdom.
University of Newcastle, Newcastle Upon Tyne, United Kingdom.
Arthroscopy. 2024 Aug;40(8):2204-2212. doi: 10.1016/j.arthro.2023.12.015. Epub 2023 Dec 27.
To investigate changes in sexual function and activity after arthroscopic hip surgery for femoroacetabular impingement using the United Kingdom Non-Arthroplasty Hip Registry dataset. Subanalyses were performed between males and females, and patients over 40 and under 40 years old.
Patients who had arthroscopic hip surgery between January 1, 2012, and October 31, 2020, were aged over 16, and completed the relevant patient-reported outcome measures were included. Question 9 of the International Hip Outcome Tool-12 (sexual activity question [SAQ]) refers to problems with sexual activity, and responses to this were compared before surgery and at 6 and 12 months after surgery. Subanalyses were also performed, including SAQ scores by patients' sex or age. SAQ scores were correlated with Euroqol-5 dimension-5 level self-reporting tool (EQ-5D-5L) scores using Spearman's rank coefficient.
SAQ was answered by 2,547 patients before and at 6 months after surgery (62.3% female, median age = 36.2, interquartile range [IQR] = 29-44 years) and by 2,314 at 12 months (61.9% female, median age = 36.2, IQR = 29-44 years). Scores for sexual activity increased from 35.0 before surgery to 70.0 at 6 months (P < .001) and were maintained at 12 months (P < .001). Female patients demonstrated a significantly greater improvement in their scores for sexual function from before surgery (median = 30.0, IQR = 14-50) to 6 months (median = 60, IQR = 28-86, P < .001) and 12 months (median = 62.0, IQR = 29-90, P < .001), compared to male patients (preoperative median = 50.0, IQR 25-84; 6-month median = 80, IQR = 45-97; 12-month median = 80, IQR = 41-98). The effect of age on improvements in sexual function did not demonstrate a significant difference. A significant positive correlation was found between improvements in sexual function and quality of life, as measured by the EQ-5D-5L, at 6 and 12 months (P < .001).
Hip arthroscopy for symptomatic femoroacetabular impingement produces an improvement in sexual function and activity. Scores for sexual function improved regardless of patient age or sex; however, female patients experienced a greater improvement in sexual function than males.
Level III, Retrospective cohort study.
使用英国非关节置换髋关节登记处数据集，研究髋关节撞击症关节镜手术后患者的性功能和活动变化。进行了男性与女性之间、40 岁以上和 40 岁以下患者之间的亚组分析。
纳入了 2012 年 1 月 1 日至 2020 年 10 月 31 日期间接受髋关节镜手术、年龄超过 16 岁且完成相关患者报告结局测量的患者。国际髋关节结果工具-12 问卷第 9 个问题（性功能问题 [SAQ]）涉及到性活动问题，比较了手术前后和手术后 6 个月和 12 个月的回答。还进行了包括患者性别或年龄的 SAQ 评分的亚组分析。使用 Spearman 秩相关系数对 SAQ 评分与欧洲五维健康量表 5 维度自我报告工具 (EQ-5D-5L) 评分进行了相关性分析。
2547 名患者在手术前和手术后 6 个月（62.3%女性，中位数年龄 36.2，四分位距 [IQR] 29-44 岁）和 2314 名患者在手术后 12 个月（61.9%女性，中位数年龄 36.2，IQR 29-44 岁）回答了 SAQ。性活动评分从术前的 35.0 分增加到术后 6 个月的 70.0 分（P <.001），并在 12 个月时保持不变（P <.001）。与男性患者相比，女性患者的性功能评分从术前（中位数 30.0，IQR 14-50）到术后 6 个月（中位数 60，IQR 28-86，P <.001）和 12 个月（中位数 62.0，IQR 29-90，P <.001）均有显著改善，而男性患者的评分则没有显著改善（术前中位数 50.0，IQR 25-84；术后 6 个月中位数 80，IQR 45-97；术后 12 个月中位数 80，IQR 41-98）。年龄对性功能改善的影响无显著差异。在术后 6 个月和 12 个月时，性功能的改善与生活质量的改善（通过 EQ-5D-5L 测量）呈显著正相关（P <.001）。
髋关节撞击症的关节镜手术可改善性功能和活动能力。无论患者年龄或性别如何，性功能评分都有所改善；然而，女性患者的性功能改善程度大于男性。
III 级，回顾性队列研究。
