(硕士论文)阴茎背神经切断术治疗原发性早泄的临床应用.pdfVIP

摘要 目的 评价阴茎背神经切断术治疗早泄的临床应用及效果。方法 自 2007～2009 年收住的原发性早泄患者44例行阴茎背神经切断术治疗早泄。在连续硬膜外麻醉或 局部麻醉下于阴茎背侧距冠状沟0.5～1cm处做环形切口，切开深筋膜，暴露左右两 侧之阴茎背神经，切除部分神经分支。记录患者手术前后阴道内射精潜伏时间、夫 妻双方性交满意度及早泄患者问卷评分变化。结果 44例患者术前平均阴道内射精潜 伏时间(IELT)和性交满意度分别为(1.21±0.34)min和(5.24±3.28)%，术后平均射 精潜伏期和性交满意度分别为(3.23±1.64)min和(54.27±16.91)%，手术前后相比 P＜0.01，有差异。中国早泄患者性功能评价表(CIPE)评分、性功能障碍国际指数 (IIEF-5)问卷评分治疗后也增加，P0.01，有差异。术后 44例中 32例射精潜伏期 大于2 min，治疗有效，有效率为72.73%，12例无效，32例有效患者中4例出现龟 头局部麻木感，2周后缓解，12例无效患者未见明显不适。结论 阴茎背神经切断术 是一种在临床上治疗早泄值得应用的方法。 关键词 早泄；阴茎背神经切断术 ；治疗 1 Effect of penile dorsal nerve neurotomy in patients with premature ejaculation Postgraduate: Chen qing-hu Supervisor: Prof.Chen di-ping Abstract Objectives To evaluate the effect and Clinical Application of penile dorsal nerve neurotomy in patients with premature ejaculation.Methods From 2007 to 2009 ，44 outpatients received penile dorsal nerve neurotomy for treating premature ejaculation(PE).Under Continuous epidural anesthesia or Local anesthesia ， a 2~3cm transverse incision were made at 0.5~1cm above coronary sulcus in circular incision of penis.After the incision of deep fascia and exposure of bilateral dorsal nerve of penis ，part of the branch of the nerve were resected.After operation，the patients were instructed to record the intravagina ejaculation latency and the satisfaction degree of intercourse and the Premature ejaculation related questionnaire before and after operation. Results Of the 44cases，the average ejaculation latency and the coitus satisfaction degree are(1.21± 0.34)min and(5.24 ±3.28)%respectively before operation and (3.23 ±1.64)min and(54.27 ±16.91)%after operation(P0.01)