论文部分内容阅读
目的探讨保留阴茎头手术治疗阴茎癌对勃起功能的影响及其与焦虑、抑郁的关系。方法回顾性分析我院42例行保留阴茎头手术治疗的浅表性阴茎癌患者。采用国际勃起功能指数问卷、焦虑和抑郁自评量表(SAS/SDS)分别在术前及术后3、6个月调查评估所有患者勃起功能、焦虑和抑郁情况,并对数据进行统计学分析。结果 2例患者分别于术后9个月和12个月出现原位肿瘤复发,再次行保留阴茎头手术治疗,随访5年未再复发。42例患者术前、术后3个月、术后6个月勃起功能评分相比差异均有统计学统计意义(P<0.05),术后勃起功能较术前改善。术前、术后3个月、术后6个月焦虑及抑郁的程度评分相比差异均有统计学意义(P<0.05),术后焦虑及抑郁的程度较术前减轻,而且患者术后勃起功能改善与焦虑、抑郁程度呈负相关。结论保留阴茎头手术患者术后勃起功能的改善,其结果与焦虑、抑郁症状的减轻呈显著相关。
Objective To investigate the effect of preserving the penis surgery on penile cancer on erectile function and its relationship with anxiety and depression. Methods Retrospective analysis of 42 patients with superficial penile cancer who had undergone penis surgery in our hospital. The erectile function index, anxiety and depression self-rating scale (SAS / SDS) were used to evaluate the erectile function, anxiety and depression of all the patients before and 3,6 months after operation, and the data were statistically analyzed . Results Two patients had recurrence of tumor in situ at 9 months and 12 months respectively. The patients were treated with penis surgery again and no recurrence was observed after 5 years of follow-up. There were statistically significant differences in erectile function scores between the 42 patients before operation, 3 months after operation and 6 months after operation (P <0.05), and the postoperative erectile function improved compared with that before operation. The scores of anxiety and depression in preoperative, postoperative 3 months and postoperative 6 months were significantly different (P <0.05), the degree of postoperative anxiety and depression was lower than that before operation, and postoperative Erectile function improvement and anxiety, depression was negatively correlated. Conclusion The improvement of postoperative erectile function in patients with penile head surgery is preserved, and the results are significantly correlated with the reduction of anxiety and depression symptoms.