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首页> 外文期刊>The journal of sexual medicine >The impact of on-pump coronary artery bypass surgery vs. off-pump coronary artery bypass surgery on sexual function.
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The impact of on-pump coronary artery bypass surgery vs. off-pump coronary artery bypass surgery on sexual function.

机译：体外循环冠状动脉搭桥手术与体外循环冠状动脉搭桥手术对性功能的影响。

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INTRODUCTION: Erectile dysfunction and ischemic heart disease are common health problems that affect elderly individuals. Despite advances in treatment strategies, cardiopulmonary bypass (CPB) has been used for coronary artery bypass grafting (CABG) for over three decades for surgical myocardial revascularization. AIM: To discuss the difference between the on pump and the newer alternative-the off-pump CABG (OPCABG) surgery-on the sexual function. METHODS: This prospective study included 100 patients who underwent CABG. MAIN OUTCOME MEASURES: The patients were evaluated by an abridged form of International Index of Erectile Function questionnaire (IIEF-5), Pharmaco-Penile Duplex Ultrasound and finally by the European System for Cardiac Operative Risk Evaluation. The patients were underwent either on-pump CABG or OPCABG. Six months after surgery, the erectile function was revaluated according to the same preoperative measures. RESULTS: Patients included in the study were classified into two matched groups: group I-patients who underwent on-pump CABG (N = 50); and group II-patients who underwent OPCABG (N = 50). The frequency of intercourse was significantly higher in OPCABG (P < 0.05) after surgery. The mean +/- standard deviation of the IIEF-5 scores of the on-pump group postoperatively became 12.48 +/- 7.19 whereas it became 15.88 +/- 6.67 in the off-pump group (P < 0.05). Moreover, the number of patients who reported postoperative improvement of their IIEF-5 score was significantly higher in OPCABG group (N = 23) compared with the conventional on-pump CABG group (N = 13) (P < 0.05). There was no significant change in the duplex ultrasound after surgery between both groups. CONCLUSIONS: The OPCABG has a diminished impact on the sexual function of patients compared with the conventional on-pump CABG. Therefore, the type of operation can be considered a predictive factor of sexual function following CAB surgery.
机译：简介：勃起功能障碍和缺血性心脏病是影响老年人的常见健康问题。尽管治疗策略取得了进步，但心肺搭桥术（CPB）已用于冠状动脉搭桥术（CABG）已有三十多年的历史，用于外科手术心肌血运重建。目的：探讨性功能上泵与新型替代品非体外循环CABG（OPCABG）手术之间的区别。方法：这项前瞻性研究包括100例行CABG的患者。主要观察指标：采用国际勃起功能指数问卷（IIEF-5），药阴双联超声检查和欧洲心脏手术风险评估系统对患者进行评估。患者接受泵上CABG或OPCABG治疗。术后六个月，根据相同的术前措施重新评估勃起功能。结果：纳入研究的患者分为两组，分别为：I组接受泵吸CABG的患者（N = 50）;以及接受OPCABG治疗的II组患者（N = 50）。术后OPCABG的性交频率明显更高（P <0.05）。泵后组IIEF-5评分的平均+/-标准差在术后为12.48 +/- 7.19，而泵外组IIEF-5评分的平均+/-标准差为15.88 +/- 6.67（P <0.05）。此外，OPCABG组报告其IIEF-5评分术后改善的患者数量（N = 23）显着高于常规泵上CABG组（N = 13）（P <0.05）。两组手术后的双工超声无明显变化。结论：与传统的泵上CABG相比，OPCABG对患者性功能的影响减小。因此，可以将手术类型视为CAB手术后性功能的预测因素。

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