可膨胀型阴茎假体植入术并发症的预防与处理  

Prevention and Treatment of the Complications of Inflatable Penile Prosthesis Implantation

作　　者：朱选文[1] 张峰彬[1] 王红萍[1] 姜海[1] 沈月洪[1] 何庆伟[1] 

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,浙江杭州310003

出　　处：《中华男科学杂志》2005年第4期284-287,共4页National Journal of Andrology

摘　　要：目的:报告32例中重度勃起功能障碍(ED)患者行三件套可膨胀型阴茎假体(IPP)植入手术的改进与术后并发症的预防。方法:32例确诊为中重度ED且保守治疗无效的患者,行IPP植入术,术中改进手术技巧,术后指导患者正确使用假体。手术前后进行国际勃起功能指数(IIEF)评分,观察治疗效果和并发症。结果:28例患者术后性生活正常,未出现并发症,4例患者产生并发症,其中2例泵失灵,1例尿道穿孔,1例阴茎缩短。4例中前3例患者再次手术后性生活恢复正常。术后IIEF评分与术前相比,差异有极显著性(P<0.01)。并发症发生率12.5%,患者性交满意率为87.5%,性生活总体满意率为84.4%。结论:通过改进手术技巧,加强术中细节处理,IPP的手术并发症较初期明显降低。IPP植入治疗终末期ED安全有效,术后患者性生活满意率高。Objective: To report the amelioration of the three-piece inflatable penile prosthesis(IPP) implantation and the prevention of its complications. Methods: Thirty-two patients with moderate to severe erectile dysfunction (ED) irresponsive to conservative treatments received the implantation of the three-piece IPP. The surgical techniques were ameliorated in the course of operation. The patients were guided in using the IPP after operation. The effects and complications of the implantation were observed based on IIEF of the patients before and after operation. Results: Sexual life was resumed and no complication was found in 28 of the patients. The complications that developed in the other 4 were pump failure(2 cases), urethral perforation (1 case), and penis contraction (1 case). The former 3 achieved normal sexual intercourse after the second operation. Comparison between the IIEF scores before and after operation showed a very remarkable difference(P<(0.01)). The occurrence rate of complications was (12.5)%. The satisfaction rate of sexual intercourse was (87.5)% and the total satisfaction rate of sexual life was (84.4)%. Conclusion: The complications of the three-piece IPP implantation were obviously reduced by ameliorating operation techniques. The implantation of the three piece-IPP is safe and effective for advanced ED patients. Natl J Androl,2005,11(4):284-287

关 键 词：勃起功能障碍 阴茎假体 并发症 

分 类 号：R699[医药卫生—泌尿科学]