CAJ | 학술논문

目的：探讨保留阴茎头手术治疗阴茎癌对勃起功能的影响及其与焦虑、抑郁的关系。方法回顾性分析我院42例行保留阴茎头手术治疗的浅表性阴茎癌患者。采用国际勃起功能指数问卷、焦虑和抑郁自评量表（SAS/SDS）分别在术前及术后3、6个月调查评估所有患者勃起功能、焦虑和抑郁情况，并对数据进行统计学分析。结果2例患者分别于术后9个月和12个月出现原位肿瘤复发，再次行保留阴茎头手术治疗，随访5年未再复发。42例患者术前、术后3个月、术后6个月勃起功能评分相比差异均有统计学统计意义（P＜0.05），术后勃起功能较术前改善。术前、术后3个月、术后6个月焦虑及抑郁的程度评分相比差异均有统计学意义（P＜0.05），术后焦虑及抑郁的程度较术前减轻，而且患者术后勃起功能改善与焦虑、抑郁程度呈负相关。结论保留阴茎头手术患者术后勃起功能的改善，其结果与焦虑、抑郁症状的减轻呈显著相关。
목적：탐토보류음경두수술치료음경암대발기공능적영향급기여초필、억욱적관계。방법회고성분석아원42례행보류음경두수술치료적천표성음경암환자。채용국제발기공능지수문권、초필화억욱자평량표（SAS/SDS）분별재술전급술후3、6개월조사평고소유환자발기공능、초필화억욱정황，병대수거진행통계학분석。결과2례환자분별우술후9개월화12개월출현원위종류복발，재차행보류음경두수술치료，수방5년미재복발。42례환자술전、술후3개월、술후6개월발기공능평분상비차이균유통계학통계의의（P＜0.05），술후발기공능교술전개선。술전、술후3개월、술후6개월초필급억욱적정도평분상비차이균유통계학의의（P＜0.05），술후초필급억욱적정도교술전감경，이차환자술후발기공능개선여초필、억욱정도정부상관。결론보류음경두수술환자술후발기공능적개선，기결과여초필、억욱증상적감경정현저상관。
Objective To evaluate the erectile function of penile cancer patients after Glans-preserving surgery,and explore the relationship between erectile function and anxiety or depression. Methods Clinical data of 42 cases with superficial penile cancer who underwent glans-preserving surgery in our hospital were retrospectively analyzed. International Index of Erectile Function (IIEF-15),self-rating anxiety/depressions cales(SAS/SDS) were used to assess the erectile function,anxiety and depression of patients before and afteroperation, and the relationships were analyzed. Results Two cases of recurrence in situ found at 9 and 12 months,which were successfully managed by a second glans-preserving surgery. Compared with that of preoperation,the degree of erectile function were increased after operation (P<0.05), However, the anxiety and depression degree were decreased (P<0.05). In addition, the erectile function was negatively correlated with anxiety or depression. Conclusion The score of erectile function of penile cancer patients were higher after glans-preserving surgery,and the erectile function were significantly correlated with anxiety and depression.