保留盆腔自主神经对老年男性直肠癌患者全系膜切除术后性功能的影响

Influence of pelvic autonomic nerve preservation on the sexual function of elderly males with colorectal cancer after TME

目的:探讨保留盆腔自主神经对老年男性直肠癌TME术后性功能的影响,以期提高临床治疗水平。方法:随机选取2006年4月至2008年8月110例老年男性直肠癌TME术患者为研究对象,分成两组,对照组未予以保留盆腔自主神经治疗,观察组予以保留盆腔自主神经治疗,比较两组治疗后在性功能和复发率等方面差异性。结果:两组患者治疗后3个月、12个月在勃起功能分级和射精分级发生率上比较均有显著差异性(P<0.05),有统计学意义;而治疗后1、3、5年复发率和生存率上比较无差异性(P>0.05),无统计学意义。结论:保留盆腔自主神经对老年男性直肠癌TME术后性功能有保护作用,对复发率和生存率无影响。

Objectives： To investigate the influence of pelvic autonomic nerve preservation on the sexual function of elderly males with colorectal cancer after TME. Method： 110 cases of elderly males with colorectal cancer hospitalized from April 2006 to August 2008 were randomly divided into 2 groups. Patients in the observation group were provided the treatment to preserve the pelvic autonomic nerve,while the control group were not given the preservation treatment. Then we compared the sexual function and relapse rates in the 2 groups. Results： The erectile function and ejaculation classification in the 2 groups were significantly different 3 months,12 months after treatment（ P〈0. 05）,while the relapse rates and survival rates in the 2 groups were insignificantly different one year, 3 years and 5 years after the treatment（ P〉0. 05）. Conclusion： Pelvic autonomic nerve preservation for elderly males with colorectal cancer could protect their sexual function after TME,and it would not influence the relapse rate and the survival rate.