选择性背神经阻断术治疗早泄初步探究.docVIP

选择性背神经阻断术治疗早泄初步探究 　　[摘要] 目的 研究选择性背神经阻断术治疗男性早泄的有效性和安全性。 方法 方便选取2011年12月―2015年6月该院收治的64例患者行选择性阴茎背神经阻断术，比较手术前后阴道内射精潜伏期（intravaginal ejaculatory latency time，IELT），国际勃起功能指数-5（index of international erectile function-5， IIEF-5）变化，并评估术后并发症情况。 结果 64例早泄患者平均年龄（29.7±6.6）岁，手术时间平均（49.5±12.4）min，平均切断背神经分支（4.2±1.1）支。术前平均IELT评分（1.3±0.5）min，术后3个月平均IELT评分（3.6±1.6）min，术后6个月平均IELT评分（3.6±1.4）min，均有明显改善，且术后IIEF-5评分无显著变化，对患者勃起功能无明显影响，并发症发生率低。 结论 选择性阴茎背神经阻断术在短期内可明显延长IELT，手术安全性高，对于患者勃起功能无明显影响，并发症发生率低，对于男性早泄的治疗可取得明显效果 [关键词] 早泄；阴茎背神经；治疗早泄 [中图分类号] R699.8 [文献标识码] A [文章编号] 1674-0742（2016）11（a）-0102-03 [Abstract] Objective To investigate the efficacy and safety of selective resection of dorsal nerves of penis for premature ejaculation. Methods Convenient selection since December 2011 to June 2015 total of 64 premature ejaculation patients accepted selective resection of dorsal nerves of penis， we compared the changes of intravaginal ejaculatory latency time（IELT）， index of international erectile function-5（IIEF-5） before and after operation， followed up and evaluated the complication. Results The mean age of patients was（29.7±6.6） years old， mean operation time was （49.5±12.4）minutes， mean removed branches of dorsal nerve of penis were （4.2±1.1）. The mean IELT was （1.3±0.5）minutes before operation， after 3 and 6 months follow-up， it reached up to （3.6±1.6）minutes and （3.6±1.4）minutes， respectively， which were significantly improved. The IIEL-5 score had no evident change after operation， which meant that erectile function was not influenced significantly. Meantime， the postoperative complication rate was low. Conclusion Selective resection of the dorsal nerves of penis can increase IELT significantly in a short term， with a high safety and low complication rate， whereas erectile function is not affected. The results imply that selective resection of the dorsal nerves of penis may be an effective method for the treatment of premature ejaculation for some patients. [Key words] Premature