腹腔镜下直肠癌手术保留盆腔自主神经对男性排尿及性功能的影响

Effect of laparoscopic rectal-carcinoma surgery with pelvic autonomic nerve preservation on the urinary and sexual functions of male patients

目的:研究腹腔镜下直肠癌手术保留盆腔自主神经对男性排尿及性功能的影响。方法:回顾性分析我院2010年1月至2012年12月接受腹腔镜下直肠癌根治术80例患者,其中观察组的40例患者接受腹腔镜下直肠癌根治术,并保留盆腔自主神经;对照组的40例患者只接受腹腔镜下直肠癌根治术,不保留自主神经。比较两组患者排尿功能及性功能恢复情况。结果:观察组术后排尿功能障碍、性功能障碍与对照组比较差异均有统计学意义(P<0.05),保留自主神经后排尿功能和性功能障碍的发生率更低。结论:腹腔镜下直肠癌手术保留盆腔自主神经有利于患者及时恢复,并有效减轻患者痛苦,提高患者的生存质量。

To study effects of laparoscopic rectal -carcinoma surgery with pelvic autonomic nerve preservation on the urinary and sexual functions of male patients.Methods：80 patients having received laparo-scopic rectal-carcinoma surgery in our hospital from January 2010 to December 2012 were selected and divided into two groups,with 40 patients in the observation group preserving pelvic autonomic nerve and the other 40 ones in the control group not.The urinary function and sexual function recovery of the two groups were compared.Results：Differences in the urinary function and sexual function recovery rate of the two groups were statistically significant （P〈0.05 ）,with lower incidence rate of urinary and sexual dysfunction in the pelvic autonomic nerve preservation group.Conclusion：Laparoscopic rectal-carcinoma surgery with pelvic autonomic nerve preservation is conducive to pa-tients’recovery in time,and can effectively alleviate the suffering of patients while improve the life quality of patients.