陰莖部分切除加延長術治療早期陰莖癌的臨床效果

劉春生 盧華榮

[關鍵詞] 陰莖部分切除術;陰莖全切術;陰莖延長術;早期陰莖癌

[中圖分類號] R737.27? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）25-0058-03

Clinical effect of partial penectomy and penile lengthening in the treatment of early penile cancer

LIU Chunsheng? ?LU Huarong

Department of Urology， the Second Hospital of Longyan in Fujian Province， Longyan? ?364000， China

[Abstract] Objective To investigate the clinical effect of partial penectomy and penile lengthening in the treatment of early penile cancer. Methods A total of 50 patients with early penile cancer admitted to our hospital from January 2018 to January 2020 were divided into two groups by random number table. Twenty-five cases in the control group underwent total penile resection， and 25 cases in the study group underwent partial penectomy and penile lengthening. The operation time， intraoperative blood loss， postoperative pain score， postoperative tumor recurrence， incision infection， external urethral stenosis， urination， preoperative and postoperative SAS score， and SDS score were compared between the two groups. Results The operation time of the study group was longer than that of the control group. The amount of intraoperative blood loss of the study group was higher than that of the control group， and the postoperative pain score was lower than that of the control group. The difference was statistically significant， P<0.05. There was no tumor recurrence， incision infection or external urethral stenosis in the two groups after the operation. The control group cooperated with the urethral perineum fistula after the operation， and the patients squatted to urinate normally. The study group stood to urinate normally after the operation， and the voiding function was not affected. The preoperative SAS score and SDS score of the two groups were significantly different between the two groups（P>0.05）. The SAS score （48.3±4.5） and SDS score （52.2±4.0） of the postoperative study group were lower than those of the control group [（64.2±5.8） and （63.3±4.8）]. The difference was statistically significant（t=10.830， t=8.883， P<0.05）. Conclusion In the clinical treatment of early penile cancer， partial penectomy， and penile lengthening can restore normal urination function， reduce postoperative pain， improve the negative emotion of patients and promote the improvement of patients′ quality of life.

[Key words] Partial penectomy; Total penectomy; Penile lengthening; Early penile cancer