摘要
作者对28例直肠癌根治术患者进行前瞻性,连续性尿流动力学检测,以探讨直肠癌根治术后排尿功能障碍的发生机制。结果表明MiIes手术后患者的尿流率降低、膀胱感觉减退(P<0.05)。而Dixon手术后患者的尿流率及膀胱感觉则无显著性变化(p>0.05)。肿瘤的分化程度、Dukes分期及距肛门的距离对术后排尿的影响不显著(P>0.05)。说明直肠癌根治术后排尿功能障碍的发生与神经损伤、膀胱移位及创伤性、无菌性膀胱周围炎有关;并提出积极开展保留植物神经的直肠癌根治手术是非常必要的。
Urodynamic studies were performed on 28consecutive patients, who underwent Miles' operation ( 19cases) or Dixon s operation ( 9 caes). AH the patients were urodynamically investigated before surgery and 10-12days, one month, and three months after the operation. The results revealed a significant decrease in urinary flow rates and increase in first sensation to void, bladder capacity and residual urine posto-peratively in the patients, who underwent Miles' operation. No significant Changes could be found in the patients who underwent Dixon's operation. No statistical urod-ynamic differences were found in patients between Dukes stages of tumor and between the histological grade of tumor and between the distance of tumor from the anal verge. we hoped to explain the mechanism of bladder dysfunction and take preventive measures by analysing the data described above.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1993年第5期422-426,共5页
Chinese Journal of Cancer
关键词
癌
根治术
尿流动力学
直肠肿瘤
Surgery for rectal cancer Urodynamic Urinary flow rate Cystornetry
