保留盆腔自主神经对男性中低位直肠癌患者术后排尿排便和性功能的影响  

Effect of pelvic autonomic nerve preservation on urination,defecation and sexual function in male patients with mid-lower rectal carcinoma

作　　者：庄潮平[1] 蔡高阳[1] 王永全[1] 

机构地区：[1]汕头大学医学院第二附属医院普外科,汕头515041

出　　处：《消化肿瘤杂志（电子版）》2009年第1期42-45,共4页Journal of Digestive Oncology(Electronic Version)

摘　　要：目的探讨在男性中低位直肠癌保肛术中保留盆腔自主神经(PANP)对排尿、排便及性功能的影响。方法回顾性分析我院在2001年1月至2004年12月间施行的123例男性中低位直肠癌保肛手术病例,其中采用PANP治疗66例,采用传统直肠癌根治术(TRER)治疗57例。对比两组患者的3年生存率、局部复发率、排尿功能、肛门功能和性功能。结果 PANP组和TRER组患者3年生存率和局部复发率差异无统计学意义(P>0.05);两组患者的肛门功能差异无统计学意义(P>0.05);PANP组排尿功能、勃起功能和射精功能均优于TRER组,差异有统计学意义(P<0.05)。结论保留盆腔自主神经的直肠癌根治术可以降低排尿障碍、性功能障碍和射精功能障碍的发生率,提高了患者的术后生活质量,值得临床推广应用。Objective To study the effect of pelvic autonomic nerve preservation(PANP) on urination,defecation and sexual function in male patients with mid-lower rectal carcinoma receiving anus preservation operation.Methods One hundred and twenty-three male patients with mid-lower rectal carcinoma who had received the anus preservation operation were reviewed.Sixty-six patients were treated with PANP and 57 patients treated with TRER(traditional radical excision for rectal cancer).The 3-year survival rate,local recurrence rate,urinary function,anal function and sexual function were retrospectively analyzed in two groups.Results There was no statistical difference in the 3-year survival rate,local recurrence rate and anal function between PANP and TRER groups(P>0.05).But the rates of urinary dysfunction and sexual dysfunction were significantly reduced in PANP group compared with TRER group(P<0.05).Conclusion PANP technique could significantly reduce the urinary dysfunction and sexual dysfunction,which was worth using widely.

关 键 词：直肠癌 盆腔自主神经 排尿功能障碍 性功能障碍 肛门功能 

分 类 号：R735.37[医药卫生—肿瘤]