保留盆腔自主神经直肠癌保肛术对排尿功能及性功能的影响

Sexual function and urinary function after pelvic autonomic nervous-reserved anal-rectal cancer operation

目的探讨保留盆腔自主神经直肠癌保肛术后对排尿及性功能的影响。方法对施行完全保留盆腔自主神经直肠癌保肛术的87例Dukes A、B期的直肠癌患者的临床资料进行回顾性总结,并对术后排尿功能和性功能进行观察与分析。结果87例患者术后5--10天,均无排尿功能障碍发生;术后正常勃起85例（97.7%）,勃起功能Ⅱ级2例（2.3%）,正常射精86例（98.8%）,射精功能Ⅱ级1例（1.2%）。结论合理选择手术适应证,保留盆腔自主神经直肠癌保肛术能明显降低术后排尿功能和性功能障碍,改善患者术后的生活质量。

Objective To assess the influence of voiding function and sexual function after pelvic autonomic nervous-reserved anal-rectal cancer operation. Methods 87 patients underwent anal-rectal cancer resection in which pelvic autonomic nervous was fully preserved. The clinical data of patients with Dukes A, B, phase of rectal cancer were reviewed and summarized. And postoperative sexual function and urinary function were observed and analyzed. Results All the patients did not have voiding dysfunction 5-10 days after operation. Normal erectile function was found in 85 cases （ 97.7% ）, grade Ⅱ erectile function in 2 cases （2.3%） , normal ejaculation in 86 cases （98.8% ） , and grade Ⅱ ejaculation function in 1 case （ 1.2% ）. Conclusion In anal-rectal cancer surgery, reasonable choice of surgical indications and reservation of pelvic autonomic nervous can greatly reduce postoperative sexual dysfunction and urinary dysfunction, and improve the quality of life of the patients.