脊髓损伤后阴茎勃起功能的影响因素分析

doi:10.3969/j.issn.1006-9771.2021.07.017

Abstract

Abstract:

Objective To analyze the clinical features related to erectile dysfunction for male patients with spinal cord injury.

Methods From December, 2019 to January, 2021, 28 male patients with spinal cord injury were detected the stiffness and periactivity index of penises during night sleep using RigiScan. The patients were grouped as presence or absence of bulbocavernous reflex, anal autonomic contraction, anal tactile sensation and anal pressure sensation, to compare the stiffness and periactivity index between the groups.

Results The stiffness and periactivity indexes were more in patients presenting bulbocavernosus reflex, anal autonomic contraction, anal tactile sensation and anal deep pressure sensation (|t| > 2.19, P < 0.05).

Conclusion Bulbocavernous reflex, anal autonomic contraction, anal tactile and anal deep pressure response may predict penile erectile function after spinal cord injury.

Key words: spinal cord injury, erectile dysfunction, bulbocavernous reflex of urethra, anal autonomic contraction, anal tactile sensation, anal deep pressure sensation

CLC Number:

R651.2

LIU Gang,TIAN Shan,BAI Xiao-chen,QI Yuan,XIE Hong-yu,ZHU Yu-lian,WU Yi. Factors Related to Penile Erectile Function for Men with Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 840-843.

Figures/Tables 5

References 22

[1]	LEE B S, KIM O. Sexual dysfunction and rehabilitation of patients with spinal cord injury[J]. J Korean Med Assoc, 2020, 63(10):612-622. doi: 10.5124/jkma.2020.63.10.612
[2]	FENSTERMAKER M, DUPREE J M, HADJ-MOUSSA M, et al. Management of erectile dysfunction and infertility in the male spinal cord injury patient[J]. Curr Urol Rep, 2018, 19(7):47. doi: 10.1007/s11934-018-0806-z
[3]	LUE T F. Neurogenic erectile dysfunction[J]. Clin Auton Res, 2001, 11(5):285-294. doi: 10.1007/BF02332973
[4]	LIU T Y, XU Z H, GUAN Y, et al. Comparison of RigiScan and penile color duplex ultrasound in evaluation of erectile dysfunction[J]. Ann Palliative Med, 2020, 9(5):2988-2992. doi: 10.21037/apm
[5]	张炎, 张海涛, 王忠, 等. RigiScan勃起功能障碍诊治临床应用中国专家共识[J]. 中国性科学, 2019, 28(12):5-10.
	ZHANG Y, ZHANG H T, WANG Z, et al. Chinese expert consensus on the clinical application of RigiScan in the diagnosis and treatment of erectile dysfunction[J]. Chin J Hum Sex, 2019, 28(12):5-10.
[6]	KIRSHBLUM S C, WARING W, BIERING-SORENSEN F, et al. Reference for the 2011 revision of the International Standards for Neurological Classification of Spinal Cord Injury[J]. J Spin Cord Med, 2011, 34(6):547-554.
[7]	GARRETT A, MARTINS F, TEIXEIRA Z. Sexual activity after spinal cord injury: therapeutics helps[J]. Acta Med Port, 2009, 22(6):821-826.
[8]	AKMAN R Y, CELIK E C, KARATAS M. Sexuality and sexual dysfunction in spinal cord-injured men in Turkey[J]. Turk J Med Sci, 2015, 45(4):758-761. doi: 10.3906/sag-1406-61
[9]	SATTAR A A, WERY D, GOLZARIAN J, et al. Correlation of nocturnal penile tumescence monitoring, duplex ultrasonography and infusion cavernosometry for the diagnosis of erectile dysfunction[J]. J Urol, 1996, 155(4):1274-1276. doi: 10.1016/S0022-5347(01)66240-2
[10]	张世民, 侯春林. 脊髓损伤后男性性功能障碍的康复[J]. 国外医学(物理医学与康复学分册), 2001, 21(1):4-6.
	ZHANG S M, HOU C L. Foreign Med (Phys Med Rehabil), 2001, 21(1):4-6.
[11]	杨云, 许光旭. 脊髓损伤的神经修复与再生[J]. 中华物理医学与康复杂志, 2021, 43(4):375-379.
	YANG Y, XU G X. Nerve repair and regeneration of spinal cord injury[J]. Chin J Phys Med Rehabil, 2021, 43(4):375-379.
[12]	贺宝荣, 郑博隆. 中国脊髓损伤规范化治疗和修复机制研究概况[J]. 中华创伤杂志, 2020, 36(4):289-292.
	HE B R, ZHENG B L. General research situation of standardized treatment and repair mechanism of spinal cord injury in China[J]. Natl J Trauma, 2020, 36(4):289-292.
[13]	AFFERI L, PANNEK J, BURNETT A L, et al. Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: a review of the literature[J]. Andrology, 2020, 8(6):1660-1673. doi: 10.1111/andr.v8.6
[14]	FERRO J K D, LEMOS A, DA SILVA C P, et al. Predictive factors of male sexual dysfunction after traumatic spinal cord injury[J]. Spine, 2019, 44(17):1228-1237. doi: 10.1097/BRS.0000000000003049
[15]	FARHADI E, KHAYYAMFAR F, FOROTAN S K, et al. Efficacy of vacuum consrictive device for the treatment of erectile dysfunction in patients with spinal cord injury[J]. J Sex Med, 2014, 11:23-23.
[16]	周辉良. 脊髓损伤患者勃起功能障碍的治疗[J]. 中华男科学杂志, 2017, 23(2):99-102.
	ZHOU H L. Treatment of erectile dysfunction in patients with spinal cord injury[J]. Natl J Androl, 2017, 23(2):99-102.
[17]	陈素文, 张军, 周红俊. 脊髓损伤患者的生殖康复[J]. 中国康复理论与实践, 2010, 16(6):543-545.
	CHEN S W, ZHANG J, ZHOU H J. Reproductive rehabilitation of patients with spinal cord injury[J]. Chin J Rehabil Theory Pract, 2010, 16(6):543-545.
[18]	王一吉, 周红俊, 陈素文. 脊髓损伤男性患者的生殖功能障碍[J]. 中国康复理论与实践, 2010, 16(3):219-220.
	WANG Y J, ZHOU H J, CHEN S W. Reproductive dysfunction in male patients with spinal cord injury[J]. Chin J Rehabil Theory Pract, 2010, 16(3):219-220.
[19]	李广伟, 王少波, 赵文奎, 等. 脊髓损伤对男性性功能影响的临床观察[J]. 实用骨科杂志, 2021, 27(2):118-121, 126.
	LI G W, WANG S B, ZHAO W K, et al. Clinical study of spinal cord injury on male sexual function[J]. J Prac Orthop, 2021, 27(2):118-121, 126.
[20]	张姣姣, 于石成, 么鸿雁, 等. 1990—2017年中国创伤性脊髓损伤疾病负担特点分析[J]. 中华创伤杂志, 2020, 36(11):1004-1009.
	ZHANG J J, YU S C, YAO H Y, et al. Characteristic analysis of disease burden of traumatic spinal cord injury in 1990-2017 in China[J]. Natl J Trauma, 2020, 36(11):1004-1009.
[21]	崔尧, 丛芳, 李建军, 等. 成年脊髓损伤患者功能结局的预测模型研究[J]. 中国康复理论与实践, 2019, 25(10):1125-1132.
	CUI Y, CONG F, LI J J, et al. Predictive model for functional outcome of adult spinal cord injury[J]. Chin J Rehabil Theory Pract, 2019, 25(10):1125-1132.
[22]	王丽, 陈勇, 田二坡. 脊髓损伤男性行睾丸取精联合ICSI助孕结局分析[J]. 中华男科学杂志, 2020, 26(7):666-668.
	WANG L, CHEN Y, TIAN E P. Outcome analysis of testicular sperm extraction combined with ICSI in male patients with spinal cord injury[J]. Natl J Androl, 2020, 26(7):666-668.

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	13	5.08±2.35	4.62±2.42	5.38±2.56	4.85±2.29
阳性组	15	21.07±6.82	17.13±4.81	24.27±6.99	17.40±4.16
t值		-2.22	-2.33	-2.54	-2.64
P值		0.040	0.032	0.021	0.015

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	19	6.00±1.86	5.00±1.65	6.16±1.77	5.84±1.68
阳性组	9	29.78±10.40	24.67±7.03	35.22±10.23	23.67±6.06
t值		-2.20	-2.72	-2.80	-2.83
P值		0.045	0.024	0.022	0.019

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	14	5.64±2.06	3.93±1.28	6.14±2.12	5.36±1.84
阳性组	14	21.64±7.35	18.71±5.26	24.86±7.59	17.79±4.60
t值		-2.19	-2.73	-2.37	-2.51
P值		0.047	0.015	0.031	0.022

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	13	5.47±2.10	5.27±2.11	6.27±2.32	5.80±2.08
阳性组	15	23.08±7.73	18.31±5.51	26.15±7.96	18.23±4.78
t值		-2.20	-2.21	-2.40	-2.39
P值		0.046	0.043	0.030	0.031

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
1组	5	0.60±0.60	0.40±0.40	0.60±0.40	0.40±0.40
2组	10	8.60±2.85	7.50±2.88	9.60±3.09	8.40±2.76
3组	5	5.00±3.58	4.80±2.35	4.80±2.75	6.60±3.31
4组	8	33.50±11.01	27.00±7.41	38.88±10.65	25.63±6.28
F值		4.76	5.94	6.96	6.23
P值		0.010	0.004	0.002	0.003

Factors Related to Penile Erectile Function for Men with Spinal Cord Injury

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