腹腔镜与开腹直肠癌根治术对患者术后性功能的影响

The Impact on Sexual Function of Laparoscopic and Open Surgery for Colorectal Cancer Resection

目的:探讨腹腔镜与开腹直肠癌根治术对患者术后性功能的影响。方法:选择直肠癌患者193例,分为两组,其中观察组96例,对照组97例。观察组采用腹腔镜手术,对照组采用常规开腹手术,比较两组男性术后勃起功能障碍和射精功能障碍,女性发生术后性交痛、阴道润滑障碍及性冷淡情况。结果:观察组发生勃起功能障碍的比率显著低于对照组(P<0.05),发生射精功能障碍的比率显著低于对照组(P<0.05),女性发生术后性交痛、阴道润滑障碍及性冷淡的比率均显著低于对照组(P<0.05)。结论:直肠癌患者实施腹腔镜手术能显著减少手术对盆腔等植物神经功能的损伤,保留患者术后性功能,提高生活质量。

Objective：To investigate the impact on sexual function of laparoscopic and open surgery for colorectal cancer resection.Method：193 cases of colorectal cancer were divided into two groups,observation group（n=96） was used laparoscopic surgery,control group（n=97） was used conventional open surgery, then postoperative male erectile dysfunction and ejaculatory dysfunction,female sexual postoperative pain,vaginal lubrication disorders and frigid conditions were compared in the two groups.Result：The ratio of erectile dysfunction occurred in the observation group was lower than control group（P〈0.05）,the ratio of the occurrence of ejaculatory dysfunction was lower than control group（P〈0.05）,female sex postoperative pain,vaginal lubrication disorders and frigidity ratios were significantly lower than control group（P〈0.05）.Conclusion：Laparoscopic surgery for patients with colorectal cancer can significantly reduce surgical pelvic autonomic function,such as injury,reservations postoperative sexual function,so it can improve life quality.