腹腔镜辅助和开腹直肠癌根治术后对男性排尿功能和性功能的影响

Effect of Laparoscopic Assisted and Open Radical Prostatectomy on Urinary Function and Sexual Function of Male Patients

目的探讨腹腔镜辅助和开腹直肠癌根治术后对男性排尿功能和性功能的影响。方法方便选取该院2014年1月—2015年6月收治的男性直肠癌患者106例。根据患者采用手术方式分为腹腔镜组和开腹组,腹腔镜组行腹腔镜辅助手术,开腹组行开腹手术,观察两组治疗疗效。结果腹腔镜组术后1个月残余尿(16.32±2.78)m L,开腹组(24.35±3.56)m L;腹腔镜组排尿量(317.80±89.44)m L,开腹组(308.47±79.52)m L;腹腔镜组最大尿流率(30.41±3.65)m L/s,开腹组(21.94±3.05)m L/s,腹腔镜组优于开腹组(P<0.05)。结论腹腔镜辅助用于直肠癌手术术后排尿功能和性功能恢复均明显优于开腹手术。

Objective To observe the laparoscopic assisted and open colorectal cancer radical surgery affect male urination function and sexual function. Methods Convenient choose self hospital in January 2014- June 2015,106 cases of male rectal cancer patients. It were randomly divided into two groups, the laparoscopic group of laparoscopic assisted surgery, laparotomy group line open operation, observe two groups of curative effect. Results After one months laparoscopic group（16.32±2.78）m L, residual urine laparotomy group（24.35±3.56）m L; Laparoscopic group urine output ml（317.80±89.44）m L and laparotomy group（308.47 ±79.52）m L; Laparoscopic group maximum urinary flow rate（30.41 ±3.65）m L/s, laparotomy group（21.94±3.05）m L/s, the laparoscopic group is superior to laparotomy group（P〈0.05）. Conclusion Laparoscopic-assisted surgery for colorectal cancer after urinary function and sexual function recovery was significantly better than open surgery.