保留盆腔自主神经在男性直肠癌根治术的临床研究

Clinical study of pelvic autonomic nerve preservation in curative excision of male patients with rectal cancer

目的探讨保留盆腔自主神经的直肠癌根治术对男性患者术后性功能及排尿功能的影响。方法对90例男性直肠癌根治术中保留盆腔自主神经和不保留自主神经术后性功能和排尿障碍的发生率进行分析。结果45例保留自主神经组勃起障碍发生率为26．67％，射精障碍发生率为24．44％，排尿障碍发生率为28．89％；45例不保留组勃起障碍发生率为57．78％，射精障碍发生率为60．00％，排尿障碍发生率为62．22％；2组比较差异均有统计学意义（X2值分别为8．92、11．66、10．08，P均〈0．01）。结论保留男性盆腔自主神经的直肠癌根治术能有效降低术后性功能障碍和排尿功能障碍。

Objective To evaluate the effects of pelvic autonomic nerve preservation （PANP） during the radical resection of rectal carcinoma on the sexual and urinary function of male patients. Methods The sexual and urinary dysfunction rates from 45 male patients who undergone PANP and 45 control patients who did not undergo PANP during radical resection of rectal carcinoma were analyzed. Results In the PANP group, the incidences of erectile dysfunction, ejaculatory dysfunction and urinary dysfunction were 26. 67%, 24.44% and 28.89% ,respectively. But in control group, the above three rates were 57.78%, 60. 00% and 62. 22% in order. The rates of these three dysfunctions significantly were different between the two groups （ X2 = 8.92, 11.66,10. 08,P 〈 0.01 ）. Conclusion PANP during radical resection of rectal carcinoma could reduce the post-operative sexual dysfunction and urinary dysfunction.