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目的:观察AMS三件套可膨胀型阴茎假体对勃起功能障碍(ED)患者的临床治疗效果。方法:选择阴茎阴囊交界处切口植入AMS三件套可膨胀型阴茎假体,治疗非手术疗法无效的ED患者6例,其中神经源性ED患者4例,阴茎海绵体动静脉瘘ED1例,阴茎海绵体纤维化ED1例。结果:6例ED患者,手术均取得成功。术后随访4～36个月,平均12个月。无排异反应,无假体故障,无尿道损伤,术后性生活满意。1例术中膀胱破裂,1例术后阴茎皮肤表皮坏死,2例包皮水肿,满意率达100%。结论:AMS三件套可膨胀型阴茎假体更接近人体生理,自然,隐蔽性好,使用方便,手术创伤小,成功率高,机械性能可靠,患者满意率高。
Objective: To observe the clinical effect of AMS three-piece expandable penile prosthesis on patients with erectile dysfunction (ED). Methods: 6 cases of ED patients with non-surgical therapy were treated with three-piece AMS three-piece expandable penile prosthesis. The patients with neurogenic ED, 4 cases of ED, 1 case of penis cavernous arteriovenous fistula, Penile cavernous fibrosis ED1 cases. Results: Six cases of ED patients, the operation was successful. The patients were followed up for 4 to 36 months with an average of 12 months. No rejection, no prosthesis failure, no urethral injury, postoperative sexual satisfaction. 1 case of intraoperative bladder rupture, 1 case of epidermal necrosis of the penis skin, 2 cases of foreskin edema, the satisfaction rate of 100%. Conclusion: AMS three-piece swellable penis prosthesis is closer to human physiology, natural, concealed, easy to use, less trauma, high success rate, reliable mechanical properties and high patient satisfaction rate.