包皮環切術患者術前術、后性功能變化分析

王錄文 張爭春 何士軍

【摘要】目的：探討包皮環切術對包皮過長患者術前、術后性功能狀況的影響。方法：通過中國早泄患者性功能評價表（CIPE）和焦慮自評量表（SAS）、抑郁自評量表（SDS）和艾森克人格問卷（EPQ）隨訪2012年1月至2015年1月于我院進行包皮環切術的患者術前1周內及術后第6個月的評分，并比較治療前和治療后的差異有無顯著性。通過生物振動測試儀，分別檢測患者術前1周內及術后第6個月陰莖龜頭、陰莖體振動感覺閾值，并比較治療前與治療后的差異有無顯著性。結果：包皮環切術可以有效延長早泄患者性交時間，降低龜頭敏感性。患者術后性生活自我滿意率和伴侶滿意率較術前有顯著提高。心理健康評價結果也表明患者術后焦慮抑郁癥狀得到明顯改善。 結論：包皮環切術可以有效增加陰莖頭的震動感覺閾值，并顯著增加患者性愛時間和射精控制能力，增加患者和配偶雙方性愛的滿意度，提高患者及其性伴侶的生活質量。同時包皮環切術可以顯著改善患者心理健康。

【關鍵詞】 包皮環切術；性生活質量；影響

Preoperative and postoperative sexual function in patients receiving circumcisionWANG Luwen， ZHANG Zhengchun， HE Shijun. Department of Urology， Xian City First Hospital， Xian 710002， Shaanxi， China

【Abstract】Objectives： To investigate the effect of circumcision on the sexual function of phimosis patients. Methods： Chinese premature ejaculation sexual function evaluation form （CIPE） and Self-Rating Anxiety Scale （SAS）， Self-Rating Depression Scale （SDS） and the Eysenck Personality Questionnaire （EPQ） were used to follow up the patients received circumcision surgery in our hospital from January 2012 to January 2015， and the a-week preoperative and six-month postoperative scores were recorded and compared. By biological vibration tester， the a-week preoperative and six-month postoperative glans penis and penis vibration perception thresholds were compared. Results： Circumcision can effectively extend the sexual intercourse duration of premature ejaculation patients and reduce the sensitivity of the glans. Self-satisfaction and partners satisfaction on sexual life was improved significantly. Mental health evaluation results also suggested that the symptoms of anxiety and depression were significantly improved after surgery. Conclusions： Circumcision can effectively increase the vibration perception threshold of the penis， and significantly increase patient time for sexual intercourse and ejaculation control， patients and spouses sexual satisfaction and the quality of their sexual life. Meanwhile， circumcision can significantly improve the mental health of patients.

【Key words】Circumcision； Quality of sexual life； Impact

【中圖分類號】R699.8【文獻標志碼】A

隨著人們對生活質量追求的提高，包皮環切術在臨床應用日趨廣泛[1]。該術式應用范圍較廣，常見適應癥為包皮過長、包莖。近年來，有臨床研究顯示，該手術對改善早泄患者的陰莖頭敏感度有一定效果，但目前并未對該手術改善陰莖頭敏感度的客觀衡量指標進行研究。本文采用生物振動感覺閾值計量儀對包皮環切術改善早泄并包皮過長患者術前術后陰莖頭敏感度及性功能狀況進行研究，現報道如下?！?br>