直肠癌切除后性机能障碍(52例调查)

SEXUAL DYSFUNCTION FOLLOWING RECTAL CANCER OPERATION

作者调查了52例直肠癌切除病人的性机能情况,其中Miles手术22例,前切除器械吻合28例,手缝2例,分别有86％、67％和50％发生性机能障碍。同时发现,性机能障碍的程度及发生率还与病人年龄、肿瘤病理分期有关。手术损伤神经,特别是损伤骶前神经和盆内脏神经是造成术后病人性机能障碍的主要因素。认为预防此并发症的关键在于正确掌握手术剥离层次,仔细辨认与保护神经避免损伤。

Sexual activity of 52 patients treated surgically, for rectal cancer were investigated. There were 22 patients underwent Miles' operation, 28 low anterior resection and 2 high anterior resection. Postoperatively, 13 had normal sexual function, 25 partial sexual dysfunction and 14 impotence. The incidences of sexual dysfunction after the three kinds of operation were 86％, 67％ and 50％ respectively. It is believed that sexual potency of the patients is related with the type of operation, age and tumor stage, and operative damage of the pelvic autonomic nerves is the most important cause.