CAJ | 학술논문

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。
목적：보고29례국산가팽창음경지탱체식입술환자적수술치료정황화원기료효，이탐토기림상치료개치。방법분석아원2002년지2013년행가팽창음경지탱체식입수술치료발기공능장애적환자29례，술후수방12~36개월，평균26개월，기록환자술후료효급병발증정황，동시환자술후12개월문진복진，감측음경발기경도수치、수술전후진행국제발기공능문권（IIEF）평분，종합평개환자발기공능화성생활만의도。결과29례ED환자수술균획성공，기중1례환자술후2월출현액빙벌실령，반년후행이차식입수술，술후회복량호；기여28례환자도목전연구，균미출현명현병발증。음경발기경도교술전유겁현저증가（P＜0.001），술후IIEF-5평분균교술전유겁현저제고（P＜0.001）。결론가팽창음경지탱체식입술치료남성발기공능장애수술성공솔고，술후병발증소，성생활만의도고，수술안전가고，치득림상추엄。
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.