保留盆腔植物神经的直肠癌扩大根治术

Extended radical resection with nerve-preservation for rectal cancer

目的 探讨保留盆腔植物神经的直肠癌扩大根治术的临床意义。方法 回顾性分析我院实施的保留神经的直肠癌根治术后病人的排尿、性功能及术后生存情况。结果 以术后问卷调查的方式对98例病人性功能观察结果:62.3％的病人可以正常勃起,57.1％的病人有正常的性功能。57例病人的平均导尿时间为60 h,残余尿量为28 ml,最大尿意尿量为400 ml。保留植物神经病人的五年生存率为61.2％。结论 功能性直肠癌扩大根治术能减少术后排尿及性功能障碍的发生并不影响生存率,是治疗直肠癌的理想术式。

Objective To explore the clinical implication of extended radical resection with nerve-preservation for rectal cancer. Methods 98 patients with rectal cancer, who underwent extended radical resection with nerve-preservation in our hospital, were investigated though post-operational questionnaire about the function of urination and sex. And post-operative survival was analyzed retrospectively. Results 62.3% of the patients could erect normally, and 57.1% of the patients had normal sexual functions. The average time of catheterization in 57 patients was 60h, the residual urine volume (RUV) was 28 ml and the max-micturition-desire urine volume was 400ml. 5-year survival rate of those who underwent extended radical resection with nerve-preservation was 61.2%. Conclusion Extended radical resection with nerve-preservation was the most optimized operation for rectal cancer, for it could decrease the post-operative dysfunction of urination and sex and not affect the survival rate.