中低位直肠癌保留盆腔自主神经对排尿和性功能影响

Effects of pelvic autonomic nerve on urinary and sexual function in mid-low rectal cancer

目的探讨保留盆腔自主神经的全直肠系膜切除术对男性中、低位直肠癌患者术后排尿和性功能的影响。方法将2015年8月~2016年8月期间本院收治的56例60岁以下男性中低位直肠癌患者根据手术方式分为观察组和对照组。观察组28例行TME+PANP手术,对照组28例行TME手术,对比1年后两组患者排尿和性功能差异。结果两组术后均无死亡病例,观察组与对照组术后均无复发病例,两组复发率比较差异无统计学意义。术后排尿和性功能观察组明显优于对照组,两组比较差异有统计学意义(P<0.05)。结论中低位直肠癌患者行保留盆腔自主神经手术(PANP),保留其排尿和性功能且不增加患者术后复发率,值得在临床宣传与推广。

Objective To investigate the effect of total mesorectal excision with pelvic autonomic nerve preservation on postoperative urinary and sexual function in male patients with mid-low rectal cancer.Methods From August 2015 to August 2016 in our hospital 56 cases of men under 60 years of age in patients with mid-low rectal cancer according to surgical methods were divided into observation group and control group.In the observation group,28 cases underwent TME+PANP operation and 28 cases underwent TME operation.The difference of urinary and sexual function between the two groups was compared after 1 years compared.Results There was no death in the two groups.There was no recurrence in the observation group and the control group.There was no significant difference in the recurrence rate between the two groups.The postoperative urinary and sexual function observation group was significantly better than the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion Pelvic autonomic nerve surgery(PANP)is reserved for patients with middle or low rectal cancer,which keeps their urination and sexual function and does not increase the postoperative recurrence rate.It is worthy of clinical publicity and promotion.