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目的 探讨膀胱癌根治性切除术性功能的保存。方法 对 7例膀胱癌患者进行了保留支配阴茎海绵体神经血管束的根治性膀胱切除术。结果 术后随访 10～ 36个月 ,5例阴茎恢复勃起 ,可以同房 ;1例有勃起但不能达到同房 ;1例阴茎未恢复勃起。结论 保留海绵体神经血管束的根治性膀胱全切术 ,可有效地降低患者术后阳萎的发生率 ,有助于提高患者术后的生活质量。
Objective To investigate the preservation of radical resection of bladder cancer. Methods Radical cystectomy was performed in 7 patients with bladder cancer who retained the penis-dominated neurovascular bundle. Results The patients were followed up for 10 to 36 months. Five patients had erect penile erection, which could be in the same room. One patient had erection but could not reach the same room. One patient did not recover erection. CONCLUSION: Radical resection of the cavernous nerve vasculature can effectively reduce the incidence of postoperative impotence and improve the postoperative quality of life of patients.