【摘要】

目的 本研究旨在探讨应用脱细胞异体真皮医用组织补片的阴茎增粗术（acellular dermal matrix medical tissue patch in penis augmentation operation，ADMPA），对早泄的作用以及安全性。

方法  回顾性分析2015年12月至2016年12月间接受ADMPA治疗的21例患者的临床资料，应用早泄评分量表(PEDT，premature ejaculation diagnostik tool)和阴道内射精潜伏期（IELT）对术前及术后随访进行详细的评估。

结果  随访6?20个月，平均8.25个月。术后患者IELT较术前显著增高，PEDT评分较前显著降低（P <0.05）。所有手术患者均未发生严重的手术并发症。

结论  通过IELT、中文版IIEF-5和PEDT问卷，本研究系统地评估了ADMPA对早泄的作用以及安全性。ADMPA安全性较高，对于阴茎细小合并早泄的患者，可能是患者选择手术治疗时的首选。

关键词 阴茎龟头;早泄;射精

[Abstract]Objective The purpose of this study is to investigate the effects of acellular dermal matrix medical tissue patch in penis augmentation operation (ADMPA) on premature ejaculation. Methods We retrospectively reviewed the medical records of 21 patients who underwent ADMPA between December 2015 and December 2016. Detailed evaluations on PE were conducted before operation and at the follow-up visits after operations. Results Follow-up ranged from 6 to 20 months with an average of 8.25 months. Men after operation experienced higher IELT and better scores of the condition of themselves over ejaculation, and severity of PE than themselves before operation ( p＜0.05 for all). No major complications occurred in the series. Minor complications

were resolved with conservative treatment within 3 weeks. Conclusions With the assessments of IELT, the Chinese assessment of IIEF-5 and PEDT, our survey systematically evaluated the e?ects of ADMPA on PE. For patients with both small penis and premature ejaculation, ADMPA may be

the first choice at the time of surgery. ADMPA is a safe optional surgery for patients with both small penis and premature ejaculation.

[Key words] glans penis; hypersensitivity; ejaculation