男性直肠癌术中保留盆自主神经手术策略探讨  

Discussion of the Surgical Strategy of Pelvic Autonomic Nerve Preservation in Male Patients with Rectal Cancer

作　　者：秦章禄[1] 郭朝阳[1] 胡自苗[1] 

机构地区：[1]江西省萍乡市人民医院普通外科,萍乡337000

出　　处：《中国现代手术学杂志》2009年第6期414-416,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨全直肠系膜切除(total mesorectal excision,TME)联合保留盆腔自主神经(pel-vic autonomic nerve preservation,PANP)的直肠癌根治的手术策略及其对男性直肠癌患者术后泌尿及性功能的影响。方法回顾性分析35例男性PANP联合TME直肠癌根治术后病人排尿及性功能障碍的发生率以及局部复发率,并与同期29例常规TME患者进行比较。结果PANP+TME组与常规TME组术后排尿功能0级者(可自行排尿,且残余尿量<50 ml)分别为28例(80.0%)和13例(44.8%),有显著性差异(P<0.01);性功能0级者(阴茎勃起,可完成性交,且能射精)为23例(65.7%)和9例(31.0%),差异显著(P<0.05);局部复发者分别为4例(11.4%)和2例(6.9%),组间比较差异无显著性(P>0.05)。结论直肠癌根治术中实施PANP策略,可以改善男性病人的排尿及性功能,提高术后生活质量,且不增加局部复发率。Objective To discuss the surgical strategies of pelvic autonomic nerve preservation(PANP) and its effects on urination and sexual functions in male patients after radical resection of rectal carcinoma.Method The clinical results were retrospectively compared in 35 cases underwent PANP+TME and 29 patients underwent routine TME procedure,including urination function,sexual function and the local recurrence rate.Results The definition of Grade 0 of the urination was voluntary micturition with the residual urin...

关 键 词：直肠肿瘤 盆腔自主神经保留 性功能障碍 排尿障碍 肿瘤复发 局部 

分 类 号：R735.37[医药卫生—肿瘤]