联合用药及手术治疗原发性早泄的疗效观察  

The effect of combined therapy and selective resection of the dorsal penile nerve of patients with premature ejaculation

作　　者：李芃[1] 许蓬[1] 孙龙浩[1] 宋世威[1] 

机构地区：[1]沈阳东方医疗集团菁华医院男性科,沈阳110005

出　　处：《中国医疗前沿》2009年第16期39-40,共2页China Healthcare Innovation

摘　　要：目的探讨联合药物治疗及阴茎背神经切断术对原发性早泄患者射精潜伏期、性生活满意度的干预效果及对临床疗效的影响。方法原发性早泄患者分为联合药物组24例和手术治疗组17例。联合药物组给予盐酸舍曲林50mg每日1次口服,复方利多卡因乳膏性交前15分钟阴茎头外用,手术组实施阴茎背神经切断术。4周后,两组应用阴道内射精潜伏期及性生活满意度进行评定,并比较两组临床疗效。结果治疗前两组阴道内射精潜伏期分别为(0.93±0.35)min,(0.91±0.39)min,治疗后分别为(4.27±1.51)min,(4.46±1.65)min,两组治疗后射精潜伏期均显著高于治疗前(P<0.01)。治疗前两组性交满意度分别为(1.39±0.68),(1.31±0.77),治疗后分别为(4.45±0.88),(4.51±1.03)。治疗后1个月两组有效率分别为79.17%,82.35%。两组组间比较均无显著性差异。结论联合药物治疗与阴茎背神经切断术治疗原发性早泄均安全、有效。Objective To investigate the effect of combined therapy and selective resection of the dorsal penile nerve on the ejaculatory latency of patients with premature ejaculation （PE）, coitus satisfaction degree of patients, and study its influence on the clinical efficacy. Methods A total of 24 cases of PE patients were subjected to combined medicine therapy. 17 cases of PE patients subjected to selective resection of the dorsal penile nerve. After 4 weeks, patients in beth groups were assessed with ejaculatory latency in vagina and the coitus satisfaction degree. The clinical efficacy was compared between the two groups. Results The ejaculatory latency in vagina before treatment in medicine therapy group and operation group is （0.93士0.35）min, （0.91士0.39） min, respectively. After treatment they are （4.27士1.51） min, （4.45士 1.55） min. The ejaculatory latency in vagina after treatment increased significantly in two groups compared to that before treatment （P〈：0.01）. The coitus satisfaction degree are （1.39士0.68）, （1.31士0.77） respectively before treatment and （4.45士0.88）,（4.51士1.03） after treatment. A month after treatment, the effective rate of two groups was 79.17% and 82.35% respectively. There is no significant difference between two groups. Conclusion The combined medicine therapy and selective resection of the dorsal penile nerve were safe and efficient in treatment of PE.

关 键 词：原发性早泄 联合药物治疗 阴茎背神经切断术 

分 类 号：R698[医药卫生—泌尿科学]