摘要
目的评价阴茎背神经切断术治疗早泄的效果。方法自1997-2006年门诊早泄患者19例行阴茎背神经切断术治疗早泄。局麻下于阴茎背侧距冠状沟0．5～1cm处做2-3cm横切口，切开深筋膜，暴露左右两侧之阴茎背神经，并切除部分神经分支。记录患者手术前后阴道内射精潜伏时间和夫妻双方性交满意度。结果19例患者术前平均阴道内射精潜伏时间和性交满意度分别为（1．01±0．58）min（0．10～1．90min）和（14．89-6．08）％（5％砣5％），术后平均射精潜伏期和性交满意度分别为（4．14-2．99）min（0．40～9．10min）和（57．47-28．28）％（10％-87％），手术前后相比P〈0．01。19例中15例有效，有效率为78．95％，4例无效，2例出现术后轻度局部疼痛，1周后缓解。结论阴茎背神经切断术是一种治疗早泄的有效方法，适用于治疗年轻且不合并ED的患者。
Objectives To evaluate the effect of penile dorsal nerve neurotomy in patients with premature ejaculation. Methods From 1997 to 2006, 19 outpatients received penile dorsal nerve neurotomy for treating premature ejaculation （PE）. Under local anesthesia, a 2-3cm lransverse incision were made at 0.5-1cm above coronary sulcus in dorsal side 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 before and after operation. Results Of the 19 cases, the average ejaculation latency and the coitus satisfaction degree are （1.0 1±0,58）min （0.10±1.90）min and （14.89±6.08）% （5%-25%） respectively before operation and （4.14±2.99）min （0.40-9.10） min and （57.47±28.28）% （10%-87%） after operation （P〈0.01）. Fifteen patients （78.95%） were effective, four patients reported ineffective, two patients had mild local pain and it receded a week later. Conclusion Penile dorsal nerve neurotomy is an effective treatment on premature ejaculation. It is suitable for the treatment of young patients without erectile dysfunction, but further studies are needed.
出处
《中国男科学杂志》
CAS
CSCD
2007年第6期51-53,共3页
Chinese Journal of Andrology
关键词
早泄
阴茎背神经切断术
阴道内射精潜伏期
性交满意度
premature ejaculation
penile dorsal nerve neurotomy
intravagina ejaculation latency
coitus satisfaction degree
