目的:探讨自体真皮移植联合阴茎环围强化术的围手术期护理方法。
方法:总结5例小阴茎患者行自体腹股沟真皮移植阴茎环围强化联合阴茎延长术的围手术期护理资料。
结果:经过全面的围手术期护理,5例患者术后均恢复良好。患者术前APPSSI评分为4.60±0.48,均小于6分。术后2个月APPSSI评分,6个月,12个月为9-12(10.6±1.02),10-12(11.2±0.98),和10-12(11.2±0.98),对手术结果表示满意。与术前APPSSI评分比较差异有统计学意义(P<0.05)。术前SAS评分为45~58分(52.2±4.35),和2个月时的SAS分数,6个月,术后12个月为31-40(34.2±3.31),30-41(35.8±3.65),和33-40(35.6±2.33),表明手术后焦虑水平降低,术前SAS评分比较差异有统计学意义(P<0.05)。术前IIEF-5评分为7-15(10.4±2.87),IIEF-5在2个月时得分,6个月,术后1年为16-24(19.8±2.71),18-25(21.2±2.48),和18-24(20.8±2.39),术后有显著改善,具有统计学意义(P<0.05)。术前NPTR检查显示持续勃起时间为18-25(21.2±2.59)分钟,和2个月时的NPTR检查,6个月,术后1年持续勃起次数18-24(21.8±2.28),20-25(23.4±2.30),和24-27(25.4±1.14)分钟。术后2个月和6个月的持续勃起时间与术前NPTR检查相比差异无统计学意义,术后12个月差异有统计学意义(P<0.01)。
结论:全面的围手术期护理是获得手术满意度高的重要因素。促进术后恢复,提高自体腹股沟真皮移植阴茎围增强联合阴茎延长术患者的性生活质量。
OBJECTIVE: To explore the perioperative nursing methods of autologous dermal transplantation for penile girth enhancement combined with penile lengthening surgery.
METHODS: Summarize the perioperative nursing data of 5 patients with small penis who underwent autologous groin dermal transplantation for penile girth enhancement combined with penile lengthening surgery.
RESULTS: After comprehensive perioperative nursing, all 5 patients recovered well after the surgery. The preoperative APPSSI scores of the patients were 4.60±0.48, which were all less than 6 points. The postoperative APPSSI scores at 2 months, 6 months, and 12 months were 9-12 (10.6±1.02), 10-12 (11.2±0.98), and 10-12 (11.2±0.98) respectively, showing satisfaction with the surgical outcomes. There was a statistically significant difference compared to the preoperative APPSSI scores (P<0.05). The preoperative SAS scores were 45-58 (52.2±4.35), and the SAS scores at 2 months, 6 months, and 12 months postoperatively were 31-40 (34.2±3.31), 30-41 (35.8±3.65), and 33-40 (35.6±2.33) respectively, indicating a reduction in anxiety levels after the surgery, with a statistically significant difference compared to the preoperative SAS scores (P<0.05). The preoperative IIEF-5 scores were 7-15 (10.4±2.87), and the IIEF-5 scores at 2 months, 6 months, and 1 year postoperatively were 16-24 (19.8±2.71), 18-25 (21.2±2.48), and 18-24 (20.8±2.39) respectively, showing a significant improvement postoperatively, with statistical significance (P<0.05). The preoperative NPTR examination showed a sustained erection time of 18-25 (21.2±2.59) minutes, and the NPTR examination at 2 months, 6 months, and 1 year postoperatively showed sustained erection times of 18-24 (21.8±2.28), 20-25 (23.4±2.30), and 24-27 (25.4±1.14) minutes respectively. There was no statistically significant difference in the sustained erection time at 2 months and 6 months postoperatively compared to preoperative NPTR examination, but there was a statistically significant difference at 12 months postoperatively (P<0.01).
CONCLUSIONS: Comprehensive perioperative nursing is an important factor in achieving high satisfaction with the surgery, promoting postoperative recovery, and improving the quality of sexual life for patients undergoing autologous groin dermal transplantation for penile girth enhancement combined with penile lengthening surgery.