保留盆腔自主神经在男性直肠癌根治术中的应用

Application of Pelvic Autonomic Never Preservation on Male Patients with Rectal Cancer

目的探讨保留盆腔自主神经直肠癌根治术对减少男性患者术后排尿功能障碍和性功能障碍的作用。方法采用病例对照法,分析56例直肠癌根治术中保留盆腔自主神经组和不保留组患者术后排尿和性功能障碍的发生率及局部复发率。结果排尿功能障碍总发生率为研究组25.00%(14/56),对照组为60.71%(34/56),两组比较差异有统计学意义(P<0.01)。研究组和对照组病人术后勃起功能障碍的发生率分别为26.79%和75.00%,射精功能障碍发生率分别为28.57%和69.64%,两组比较差异有统计学意义(P<0.01)。局部复发率分别为7.14%和8.93%,差异无统计学意义。结论保留盆腔自主神经的直肠癌根治术在不增加局部复发率的情况下,可以改善患者术后的性功能和排尿功能,提高患者术后的生活质量。

Objective To evaluate the effects of PANP on male patients with rectal cancer following sexual dysfunction and urinary dysfunction. Methods Retrospectively, the urinary dysfunction, sexual dysfunction and local recurrence rate of respective 56 patients in case and control group were analyzed by casecontrol study. Results The urinary dysfunction rate were 25.00% and 60. 71% in case and control group,and was found significant difference（P〈0. 01）. The erectile dysfunction rate were 26. 79% and 75.00% in case and control group and was found significant difference （P〈0. 01 ） . 28. 57% and 69. 64% of ejaculatory disorder in the two groups and had significance（P〈0. 01）. Local recurrence was 7. 14% and 8.93 %, no significant difference was found in local recurrence between case and control group. Conclusion The radical operation with pelvic autonomic nerve preservation for rectal cancer could reduce sexual disorder rate , urinary disorder rate and better life quality without at the expense of local recurrence.