后交叉韧带重建改善术后性健康

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-04-01 DOI:10.1016/j.asmr.2024.101041

Riccardo D’Ambrosi M.D. , Federico Valli M.D. , Pietro Marchetti M.D. , Nicola Ursino M.D. , Amit Meena M.B.B.S., M.S., D.N.B.

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引用次数: 0

摘要

目的探讨关节镜下后交叉韧带（PCL）重建术后患者性功能和生活质量的变化。方法纳入18 ~ 45岁行PCL重建的患者。入院时，要求每位患者在受伤前（受伤前）和入院时（术前）填写新性满意度量表-短表。此外，对患者进行了至少24个月的随访（最终随访）。在入院（术前）和24个月随访（最后随访）时使用前十字韧带生活质量问卷测量生活质量。结果共纳入35例患者；男性24例（68.6%），女性11例（31.4%）。手术时平均年龄29.23±7.52岁，平均随访时间52.97±22.69个月。所有患者均使用腘绳肌腱。最后一次随访时的性活动与术前有显著差异（P = 0.024），而损伤前与最后一次随访值无差异（P = 0.024）。243)。损伤前性行为较术前频繁(P =。009)。最后一次随访的生活质量明显优于术前(P <；措施)。结论PCL损伤后再造术可改善患者的性健康状况，不论年龄和性别。证据水平：III级，回顾性队列研究。

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Posterior Cruciate Ligament Reconstruction Improves Sexual Health Postoperatively

Purpose

To investigate changes in sexual function and quality of life following arthroscopic posterior cruciate ligament (PCL) reconstruction.

Methods

Patients aged between 18 and 45 years who underwent PCL reconstruction were considered for inclusion. At the time of hospital admission, each patient was asked to complete the New Sexual Satisfaction Scale-Short Form, before injury (preinjury) and at the time of hospital admission (preoperative). In addition, patients were followed for a minimum of 24 months (final follow-up). Quality of life was measured using the Anterior Cruciate Ligament Quality of Life Questionnaire at hospital admission (preoperative) and at the 24-month follow-up visit (final follow-up).

Results

A total of 35 patients were included in the study; 24 (68.6%) were male, and 11 were female (31.4%). The mean age at the time of surgery was 29.23 ± 7.52 years, and the mean follow-up duration was 52.97 ± 22.69 months. In all patients, the hamstring tendon was used. Sexual activity at the last follow-up visit was significantly different from that preoperatively (P = .024), while no difference was observed between the preinjury and last follow-up values (P = . 243). Sexual activity was more frequent before injury than preoperatively (P = . 009). Quality of life at the last follow-up visit was significantly better than that preoperatively (P < .001).