阴茎背深静脉切除术后长期随访分析

A Long-term Follow-up Study of Deep Penile Vein Resection Patients

目的 :分析应用阴茎背深静脉结扎加切除术治疗背深静脉漏致勃起功能障碍 (ED)者术后 5年疗效。 方法 :对 16例经背深静脉结扎加切除治疗的ED病人 ,术后 5年内的勃起情况作连续观察和记录。 结果 :8例病人在术后 18个月起陆续出现勃起功能减退 ,在 2 1～ 30个月时出现完全不能勃起 ,经用药物治疗 6例改善 ,2例无效 ;7例勃起功能正常 ;1例于术后 2 4个月失随访。 结论 :对明确诊断为单纯背深静脉漏引起ED者 ,作阴茎背深静脉结扎加切除治疗不失为一种简单。

Objective: To study the five year postoperative effect of the ligation and resection of the deep penile vein for the patient of erectile dysfunction (ED) caused by penile venous leakage. Methods: Sixteen ED patients received deep penile vein ligation and resection. Observations of the penile erection had been recorded for 5 years after surgery. Results: Eight cases demonstrated erectile hypofunction after 18 months postoperatively and total ED after 21～30 months of which 6 were improved by chemotherapy, and 2 showed no improvement. Seven cases remained normal and 1 case get out of touch at the 24th month postoperatively. Conclusions: The ligation and resection of the deep penile vein can be considered as an easy and effective method to treat patients of ED caused by penile venous leakage.