改良显微镜下阴茎背深静脉包埋术疗效分析

摘要

目的 介绍改良传统阴茎背深静脉包埋术,并评估手术疗效.方法 23例静脉性勃起功能障碍(ED)患者接受改良显微镜下背深静脉包埋术,分别于术前术后作国际勃起功能指数-5(IIEF-5)、性生活日记(SEP)、阴茎勃起硬度测定、女性性满意度调查表(SS问卷),并将术中所取白膜送病检.结果 23例患者完成了术后6个月的随访,其中3例显效,14例有效,6例无效.术后IIEF-5评分、阴茎勃起硬度测定、SS评分较术前显著提高(P<0.05).术后6例中5例病理提示不同程度的白膜纤维化、玻璃样改变.结论 改良显微镜下背深静脉包埋术更符合阴茎血流动力学原理,治疗静脉性ED有一定疗效.%Objective To introduce a modified method of embedding deep dorsal vein under microscope, and evaluate its effect on erectile function. Methods Twenty-three cases with venous erectile dysfunction received modified surgery. IIEF-5,SEP, hardness of penis,female sexual satisfaction of the patients were measured before and after treatment. The resected tunica albuginea were pathologically analyzed after surgery. Results After 6 months follow-up, 3 cases had remarkable effect, 14 cases significant effect, 6 cases uneffect. IIEF-5, hardness of penis, female sexual satisfaction were significantly improved after treatment (P<0.05). There were different degrees of fibrosis and glass-like changes in tunica albuginea. Conclusion The modified method is more suitable for penile blood flow dynamics. It has significant curative effect for venous erectile dysfunction.