可膨胀阴茎支撑体植入术的临床治疗与随访研究

The clinical treatment and follow-up study of inflatable penile prosthesis implantation

目的：报告29例国产可膨胀阴茎支撑体植入术患者的手术治疗情况和远期疗效，以探讨其临床治疗价值。方法分析我院2002年至2013年行可膨胀阴茎支撑体植入手术治疗勃起功能障碍的患者29例，术后随访12~36个月，平均26个月，记录患者术后疗效及并发症情况，同时患者术后12个月门诊复诊，监测阴茎勃起硬度数值、手术前后进行国际勃起功能问卷（IIEF）评分，综合评价患者勃起功能和性生活满意度。结果29例ED患者手术均获成功，其中1例患者术后2月出现液泵阀失灵，半年后行二次植入手术，术后恢复良好；其余28例患者到目前研究，均未出现明显并发症。阴茎勃起硬度较术前有极显著增加（P＜0.001），术后IIEF-5评分均较术前有极显著提高（P＜0.001）。结论可膨胀阴茎支撑体植入术治疗男性勃起功能障碍手术成功率高，术后并发症少，性生活满意度高，手术安全可靠，值得临床推广。

Objective To report the operations treatment and the long-term curative effect of inflatable penile prosthesis implantation on 29 cases with erectile dysfunction.Methods Twenty-nine patients with erectile dysfunction underwent inflatable penile prosthesis implantation in our hospital from 2002 to 2013.Postoperative efficacy and complications in patients were recorded during 12~36 months （average 26 months） following up. All patients were required to monitor the hardness value of penile erectile after 12 months following up. The effects were observed based on IIEF of the patients before and after operation. The erectile function and the sexual satisfaction were evaluated comprehensively. Results All of the operations were successful. Only one patients developed pump failure, the other 28 patients had no obvious complications. There were very significant differences in the hardness values of penile erectile and all IIEF scores between before and after operation.Conclusion Inflatable penile prosthesis implantation has a high success rate, less complications,high sexual satisfaction in the treatment ofmale erectile dysfunction.