【摘要】 目的:探讨保存阴茎勃起神经的根治性膀胱切除术临床应用价值。方法:2000年1月~2005年1月我院对32例男性患者施行了保存勃起神经的根治性膀胱切除术。患者年龄38~78岁,病程2d~20年,术前勃起功能正常。术中膀胱全切采用顺行逆行相结合的方法,保留神经血管束。结果:随访6~54个月。术后性功能达到Ⅰ级者3例;Ⅱ级者6例;Ⅲ级者23例,时间为2~14个月,平均4.5个月。结论:保存勃起神经的根治性膀胱切除术治疗效果肯定。更多还原

【Abstract】 Objective:To evaluate the effect of sexual-nerve-sparing radical cystectomy.Methods: Thirty-two male patients were treated with sexual-nerve-sparing radical cystectomy in our hospital in the past 5 years.The age of the patients ranged from 38 to 72 years,with the course of the diease ranging from 2 days to 20 years.All of them were potent preoperatively.Radical cystectomy was performed antegradely and retrogradely with the neurovascular bundle spared.Results: The patients were followed up for 6 to 54 months,3 achieved sexual activity of Grade Ⅰ,6 Grade Ⅱ and 23 Grade Ⅲ after the operation.The recovery time of erectile function ranged from 2 to 14 months,averaging at(4.5) months.Conclusion: Whenever condition suits,sexual-nerve-sparing radical cystectomy is to be strongly recommended.更多还原