Comparison of sexual function and quality of life after pelvic trauma with and without Angioembolization

作     者：Naeem Goussous Mark D.Sawyer Lisa-Ann Wuersmer Marianne Huebner Molly L.Osborn Martin D.Zielinski 

作者机构：Department of SurgeryMayo ClinicRochesterMNUSA Department of Physical Medicine and RehabilitationRochesterMNUSA Division of Biomedical Statistics&InformaticsMayo ClinicRochesterMNUSA Division of TraumaCritical Care and General SurgeryMary Brigh 2-818Mayo Clinic1216 Second Street SWRochesterMN 55902USA. 

出 版 物：《Burns & Trauma》 (烧伤与创伤（英文）)

年 卷 期：2015年第3卷第3期

页      面：155-160页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 1011[医学-护理学（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 0836[工学-生物工程] 10[医学] 

基　　金：The publication was made possible by funds from the Department of Surgery and Mayo Clinic Surgery Research Committee 

主　　题：Pelvic fracture Angioembolization Sexual function Quality of life 

摘      要：Background:The aim is to study the safety of Angioembolization on long-term sexual function and quality of ***:IRB approval was gained to review the prospectively collected trauma database as well as prospective questionnaires of patients at least 1 year out from pelvic fractures that occurred between 1996 and *** included the SF36v2,Female Sexual Function Index and the International Index of Erectile *** for each domain were compared between patients treated with AE and 2:1 case-matched control patients as well as between the national *** are presented as percentages or means with 95%CI.P0.05 was considered statistically ***:Thirty Seven cases and 74 matched controls were identified.42 patients completed the *** were 13 cases(12 males),and 29 controls(22 males).There was a higher ISS(Injury Severity Score)(32 vs 27;p=0.048)in the cases,but no difference in pelvic AIS(Abbreviated Injury Severity Score)(3 vs 3).Both groups scored similarly in the SF36 in all domains,but the entire cohort scored lower than the national norms in the physical functioning(41.9(37.8–46.0)vs50),role physical(40.9(36.2–45.7)vs50),body pain 43.8(40.7–46.9)vs50),role emotional 46.3(42.8–49.8)vs50),and physical composite score(42.1(38.0–46.3)vs50).All domains of the sexual function in both questionnaires showed significant impairment in our cohort compared with *** cases had similar scores to the ***:Pelvic fractures portend a worse long-term QOL and sexual function than the general ***,however,does not have an additive affect to these indices.