手术者因素对直肠癌病人术后性功能的影响

Influence of surgeon-related factors on postoperative sexual function in patients with rectal cancer.

目的探讨手术者因素对直肠癌病人术后性功能的影响。方法回顾性分析1997年10月至2004年7月共105例男性直肠癌手术的随访资料。将105例病人随机分为5组,由5位医生作为术者完成手术,对其术后性功能障碍的发生率进行比较。结果直肠癌术后性功能障碍总发生率为35.2%,各手术组性功能障碍的发生率分别为15.4%、35.7%、57.9%、52.6%和15.4%,差异有显著性意义(χ2=13.5,P=0.009)。结论手术者因素对直肠癌病人术后性功能有显著影响,提高直肠癌术中保留盆腔自主神经的认识有助于降低术后性功能障碍的发生率。

Objective To investigate the influence of surgeon-related factors on postoperative sexual function in patients with rectal cancer. MethodsClinical and follow-up data of 105 male patients with rectal cancer treated surgically from October 1997 to July 2004 were retrospectively analyzed. The patients were randomly divided into 5 groups and the operation was implemented by 5 surgeons, respectively. Rates of postoperative sexual dysfunction were compared among different surgical groups. Results The total rate of postoperative sexual dysfunction was 35.2%. The rates in different groups were 15.4% ,35.7% ,57.9% ,52. 6% and 15.4% ,respectively. Significant differences were found in different groups （ X^2 = 13.5, P = 0. 009）, Conclusion Surgeon-related factors could influence postoperative sexual function in patients with rectal cancer and more understanding on nerve-preserving resection would be helpful to decrease the rates of postoperative sexual dysfunction.