脊髄損傷患者の追跡調査 : 麻痺高位, ADL, 自立度と結婚, 性機能について

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Ninety-one patients with spinal cord injury have been personally treated by author (70 male, and 21 female).Twenty-one male and eight female patients have been single before and after injury. Ten of the seventy male had beed married after injury, while none of the twenty-one female was married.There were the patients of thirty-five male and eleven female, in whom maintain to live married life both before injury after that. Three male and two female divorced after injury and one male was bereaved of his wife.It may be factor of divorce to be disability in the sexual intercourse, but it was not such a serious problem that one might anticipate.The physicians cannot forecast from the onset of spinal cord injury what the sexual function of any one patient will be. However, knowing the neurologic level of the injury, the complete or incomplete lesion, and the reflex status through the sacral segments, one can at least attempt such a forecast.In the sixty-one male except nine male who have the possibility of the independent gait, three patients with lesion in the cervical segments, five patients with lesion in the hign and middle thoratic segments and four patients with lesion in the lower lumbar segments were successful at coitus.Of these, two patients with lesion in the cervical segment, two patients with lesion in the high ane middle thoratic segment and four patients with lesion in the lower lumbar segments were able to ejaculate.All patients with complete lesion in the lower thoratic segments were even unable to erect.All patients who have the possibility of the independent gait were able to erect and ejaculate.
社団法人日本リハビリテーション医学会の論文
1978-01-18

脊髄損傷患者の追跡調査 : 麻痺高位, ADL, 自立度と結婚, 性機能について

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