摘要
目的探讨直肠癌根治术中保留盆腔自主神经对男性性功能和排尿功能的影响。方法110例男性直肠癌患者行保留盆腔自主神经的直肠癌根治术,Dukes A期48例完全保留自主神经(Ⅰ型),Dukes B期53例保留双侧盆神经丛(Ⅱ型),Dukes C期9例保留一侧盆神经丛(Ⅲ型)。结果Ⅰ、Ⅱ和Ⅲ型患者在性功能和排尿功能方面的差异有统计学意义(P<0.05),局部复发率分别为2.08%,11.32%和22.22%,其差异有统计学意义(P<0.05),总的5年生存率为60.91%。结论直肠癌根治术中保留盆腔自主神经,可降低病人术后性功能障碍和排尿功能障碍发生率,提高病人生存质量。
Objective To evaluate the effect of male sexual and urinary function after pelvic autonomic nerve preservation （PANP） following radical excision for rectal cancer. Method PANP following radical excisions for rectal cancer were performed in 1 l0 cases, in whom 48 cases underwent total PANP（ style Ⅰ ） , 53 cases underwent bilateral PANP （style Ⅱ ）, 9 cases underwent unilateral PANP（ style Ⅲ ）. Results The overall 5-year survival rate was 60. 91%. There were significant differences in sexual and urinary functions in style Ⅰ , Ⅱ and Ⅲ（ P 〈 0.05 ） . The local recurrence rate was 2. 08% ,11. 32% and22.22%, respectively in style Ⅰ ,Ⅱ and Ⅲ（P〈0.05）. Conclusion The PANP following radical excision for rectal cancer can reduce sexual and urinary dysfunction, and improve the quality of life.
出处
《中国现代手术学杂志》
2007年第1期28-30,共3页
Chinese Journal of Modern Operative Surgery
关键词
直肠肿瘤
盆腔自主神经
性功能障碍
排尿障碍
rectal neoplasms
pelvic automatic nerve
sex disorders
urination disorders
