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选择性阴茎背神经分支切断术治疗原发性早泄
引用本文:宋永胜,郑世广,杨保民,陈业权,赫金涛,贺小海,吴淼,李继根.选择性阴茎背神经分支切断术治疗原发性早泄[J].中国性科学,2012,21(1):9-10,42.
作者姓名:宋永胜  郑世广  杨保民  陈业权  赫金涛  贺小海  吴淼  李继根
作者单位:南京建国男科医院射精障碍诊疗中心,江苏南京,210006
摘    要:目的:探讨选择性阴茎背神经分支切断术治疗原发性早泄的手术指征、方法及疗效.方法:距冠状沟上1.5cm处依次切开皮肤、肉膜、筋膜,充分显露背神经分支,保留1~2支,其余均予以切断、残端电灼.结果:对1316例原发性早泄患者术后随访1 ~3.5年,射精潜伏期达5min以上918例,3~5min 250例,症状无明显改善148例,有效率88.7%.结论:本术式创伤小、安全、疗效满意,是治疗原发性早泄的一种选择手段.

关 键 词:阴茎背神经分支  切断术  原发性早泄

Selective resection of dorsal penis nerve branches for primary premature ejaculation
SONG Yongsheng , ZHENG Shiguang , YANG Baomin , CHEN Yequan , HE Jintao , HE Xiaohai , WU Miao , LI Jigen.Selective resection of dorsal penis nerve branches for primary premature ejaculation[J].The Chinese Journal of Human Sexuality,2012,21(1):9-10,42.
Authors:SONG Yongsheng  ZHENG Shiguang  YANG Baomin  CHEN Yequan  HE Jintao  HE Xiaohai  WU Miao  LI Jigen
Institution:Diagnosis and Treatment Center for Defective Ejaculation,Nanjing Jianguo Andrology Hospital,Jiangsu 210006,China
Abstract:Objectives: To investigate the operation indications,methods and therapeutic effects of selective resection of dorsal penis nerve branches in treatment of primary premature ejaculation(PPE).Methods: From coronary sulcus on 1.5 cm,we successively cut open skin,sarcolemma and fascia,fully exposed nervus dorsalis branches and kept 1~2 teams,the others all be cut off and fulgerized.Results: 1316 of them are followed up for 1~3.5 years,the ejaculation latency was significantly prolonged(above 5 minutes) in 918,improved(3~5 minutes) in 250 and not improved in 148 patients,with a total effective rate of 88.7%.Conclusion: This procedure of small trauma,safety and efficacy satisfaction,is a choice of primary premature ejaculation.
Keywords:Dorsal penis nerve branches  Resection  Primary premature ejaculation
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