摘要
目的:探讨保留盆腔自主神经的直肠癌根治术的临床效果及对保护排尿功能和性功能的意义。方法:对我科自2000年收治的66例中低位Dukes A、B期直肠癌患者随机分为实验组35例,行保留盆腔自主神经的直肠癌根治术;对照组31例,行常规直肠癌根治术。对两组术后的局部复发情况、排尿及性功能结果进行对比分析。结果:两组病例术后局部复发率无显著差异;但实验组术后的排尿功能和性功能得到更好的保护,与对照组比较,有显著差异。结论:只要严格掌握适应症,个体化选择保留盆腔自主神经的术式,规范操作,保留盆腔自主神经的直肠癌根治术是目前直肠癌根治术的理想术式,值得推广。
Objective：To investigate clinical efficiency of radical resection of rectal carcinoma with pelvic autonomic nerve reservation and its influence on sexual and urinary function. Methods：Since 2000, 66 hospitalized patients with Dukes A or B stage low - medial rectal cancer were randomly divided into two groups. Radical resection of rectal carcinoma with pelvic autonomic nerve reservation was performed in experimental group （ n = 35 ）. In control group （ n = 31 ）, only radical resection of rectal carcinoma was done routinely. The post - operational local recurrence, urinary and sexual functions were compared between two groups. Results： There was not any significant difference of local recument rate between both grnups. However,the post - operational sexual and urinary functions recovered better in experimental group than those in control group. Conclusion：Radical resection of rectal carcinoma with pelvic autnnomic nerve reservation is an ideal surgical operation for treatment of Dukes A or B stage tow - medial rectal cancer and it should be spread in clinical practice.
出处
《西南国防医药》
CAS
2009年第1期51-53,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
直肠癌根治术
保留盆腔自主神经
排尿功能
性功能
radical resection of rectal carcinoma
pelvic autonomic nerve reservation
sexual function
urinary function
