三种治疗方法对男性尿道狭窄患者性功能的影响

发布时间：2018-05-05 05:20

本文选题：尿道狭窄 + 勃起功能障碍　；参考：《宁夏医科大学》2017年硕士论文

【摘要】：目的:探讨三种治疗方法对男性尿道狭窄患者性功能的影响。方法:回顾性分析宁夏医科大学总医院院泌尿外科2011年1月至2016年3月期间所收治尿道狭窄男性患者的临床资料。这些患者于我院分别行尿道扩张术、尿道内切开术和经会阴途径尿道端端吻合术,根据纳入及排除标准,选择60例18~66岁接受手术治疗的男性患者资料。回顾性分析60例患者的临床资料,按治疗治疗方法不同分为三组,通过联合使用门诊随访、电话随访及通信随访的调查方式让患者填写国际勃起功能调查问卷(IIEF-5)、性生活质量调查表(SLQQ)2份表格,评估患者术前、术后3个月以及术后6个月的性功能情况,随访至患者术后6个月。评价三种治疗方式对患者性功能的影响,找出影响患者性功能的危险因素。结果:共收集53例有效数据,患者年龄39.9岁,其中行尿道扩张术患者18例,行尿道内切开术患者12例,行尿道端端吻合术患者23例。总体而言,尿道扩张术患者术后3个月、6个月患者IIEF-5评分及SLQQ评分较术前未见明显变化,而尿道内切开术患者及尿道端端吻合术患者术后3个月、6个月患者IIEF-5评分及SLQQ评分均较前下降,且存在统计学意义(P0.05)。结论:尿道扩张术对患者术后性功能无明显影响,尿道内切开术和端端吻合术会不同程度降低患者性功能;尿道端端吻合术患者术后发生勃起功能障碍比率较尿道内切开术患者大;手术方式和狭窄部位是患者术后发生勃起功能障碍的危险因素;随时间增长,部分尿道狭窄患者术后性功能可得到改善。
[Abstract]:Objective: to explore the effect of three treatment methods on sexual function of male urethral stricture patients. Methods: the clinical data of male patients with urethral stricture treated in General Hospital of Ningxia Medical University from January 2011 to March 2016 were analyzed retrospectively. These patients underwent urethral dilatation, urethrotomy and transperineal end-urethral anastomosis respectively. According to the criteria of inclusion and exclusion, 60 male patients aged 1866 were selected. The clinical data of 60 patients were retrospectively analyzed and divided into three groups according to different treatment methods. By telephone follow-up and correspondence follow-up, the patients were asked to fill out the International erectile function questionnaire (IIEF-5) and the sexual quality questionnaire (SLQQQ) to evaluate the sexual function of the patients before, 3 months and 6 months after operation. The patients were followed up to 6 months after operation. To evaluate the influence of three treatments on patients' sexual function and find out the risk factors. Results: a total of 53 cases of effective data were collected. The age of the patients was 39.9 years, including 18 cases of urethral dilatation, 12 cases of urethrotomy and 23 cases of end-to-end urethral anastomosis. In general, the IIEF-5 and SLQQ scores of urethral dilatation patients 3 months and 6 months after urethral dilatation were not significantly different from those before operation. However, the IIEF-5 and SLQQ scores in patients with end-to-end urethrostomy and urethral end-to-end anastomosis after 3 months and 6 months were lower than those in the former, and there was significant difference between the two groups (P 0.05). Conclusion: urethral dilatation has no significant effect on the sexual function after operation, and urethrotomy and end-to-end anastomosis can decrease the sexual function in different degree. The incidence of erectile dysfunction in urethral end-to-end anastomosis patients was higher than that in urethral end-to-end anastomosis patients. Sexual function can be improved in patients with partial urethral stricture after operation.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.6

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