盆腔根治性手术后勃起功能障碍的研究进展

Study progress in erectile dysfunction after radical pelvic surgery

盆腔根治性手术是治疗盆腔内肿瘤的主要手术方式,勃起功能障碍(ED)是术后常见的性功能障碍。由于手术方式和调查方法的不同,对盆腔根治性手术后ED发生率的认识尚不统一。术后ED的原因主要包括术中神经血管损伤、精神心理因素、术前患者特征等,其中术中神经血管束损伤最常见。研究结果表明通过积极干预能预防术后ED发生,但目前仍缺乏有效的治疗措施。本文对近年来盆腔根治性手术后ED的临床流行病学特征和研究进展进行总结,并探讨预防和治疗术后ED的具体措施。

Radical pelvic surgery is a surgical method mainly used to treat tumors in the pelvic cavity,and erectile dysfunction(ED)is a common sexual dysfunction after surgery.The incidence of ED after radical pelvic surgery is not uniformly understood due to differences in surgical approaches and methods of investigation.The main causes of postoperative ED include intraoperative neurovascular injury,psychosomatic factors and preoperative patient characteristics,with intraoperative injury to the neurovascular bundle being the most common.Studies have shown that the occurrence of postoperative ED can be prevented by active intervention,but still lack of effective treatment measures.This article reviews and summarizes the clinical epidemiological features and research progress in recent years on ED after radical pelvic surgery,and discusses specific measures for the prevention and treatment of postoperative ED.