摘要
目的 观察再次行选择性阴茎背神经切断术治疗复发早泄（PE）的临床疗效.方法 对已行选择性阴茎背神经切断术治疗的21例复发PE患者再次行选择性阴茎背神经切断术,观察其阴道内射精潜伏期（IELT）以评价术后疗效,并对患者再次手术前后中国PE问卷调查表（CIPE-5）评分、国际勃起功能（IIEF-5）评分和阴茎生物感觉阈值（PVT）进行比较.结果 本组患者再次手术后随访3～9个月,显效7例,好转9例,无效5例,有效率为76.2％.再次手术后CIPE-5评分较术前明显提高（P＜0.05）,而IIEF-5评分无明显变化（P＞0.05）,PVT则显著高于术前（P＜0.05）;再次手术后无严重并发症.结论 对部分复发PE患者再次行选择性阴茎背神经切断术仍然安全、有效.
Objective To evaluate the clinical efficacy of reoperation after selected penile dorsal nerve neurotomy in patients of recurrenct premature ejaculation. Methods Twenty one patients with recurrence of premature ejaculation were treated with reoperation. Intravaginal ejaculation latency time （ IELT ）, Chinese index of sexual function for premature ejaculation-5 （CIPE-5）, the international index of erectile function （IIEF-5） and penile vibration thresholds （PVT） were assessed before and after reoperation. Results Patients were followed up for 3-9 months and the overall effective rate was 76.2%, including 7 cases were markedly effective, 9 cases were improved and 5 cases ineffective. CIPE-5 scores were increased significantly after reop- eration （ P〈0.05 ）. IIEF-5 scores were not significant different after reoperation （ P 〉0.05 ）. PVT were increased significantly after reoperation （P〈0.05）. There were no severe complications associated with reoperation. Conclusion Reoperation after selective penile dorsal nerve neurotomy for patients with recurrence of premature ejaculation are safe and effective.
出处
《浙江医学》
CAS
2015年第17期1463-1465,共3页
Zhejiang Medical Journal
基金
浙江省教育厅科研计划项目(Y201017048)
关键词
选择性阴茎背神经切断术
早泄
疗效
Selected penile dorsal nerve neurotomy
Premature ejaculation
Effect
