腹腔镜保留盆腔自主神经直肠癌根治术对男性功能的影响

Effect of Radical Rectal Cancer Surgery with Laparoscopic Pelvic Autonomic Nerve Preservation on Male Function

目的探讨腹腔镜辅助下保留盆腔自主神经(PANP)直肠癌根治术的方法及应用前景。方法 60例符合条件的男性直肠癌患者60例进行腹腔镜PANP直肠癌根治术(腹腔镜组),选择同期符合条件的传统开腹直肠癌手术患者75例(开腹组),比较2组患者的性功能和排尿功能。结果性功能障碍的发生率腹腔镜组为38.33%、开腹组为68.00%,近期排尿功能障碍发生率腹腔镜组为10.00%、开腹组为33.33%,2组比较差异均有统计学意义(均P<0.05)。结论腹腔镜PANP直肠癌根治术可以有效地减少术后性功能和近期排尿功能障碍的发生率。

Objective To assess the method of the radical rectal cancer surgery with pelvic autonomic nerve perservation（PANP） by laparoscopic-assisted and applicative prospects.Methods Sixty cases of eligible man had the radical rectal cancer surgery with PANP by laparoscopic-assisted（laparoscopic size）,while other 75 cases of eligible man as going to be the traditional radical rectal cancer surgery.Comparison of its sexual dysfunction with urinary dysfunction was performed.Results The incidence of sexual dysfunction between laparoscopic size and tradion size were 38.33% and 68.00% separately.The incidence of voiding dysfunction between laparoscopic size and tradion size were 10.00% and 33.33%.There was a statistics significance between the groups（P0.05）.Conclusion The radical rectal cancer surgery with PANP by laparoscopic-assisted could be effectively reducing the incidence of sexual dysfunction after operating and urinary dysfunction.