36例保留盆腔植物神经的直肠癌根治术临床分析  

Clinical analysis of 36 cases with pelvic autonomic nerve-sparing radical surgery for rectal cancer

作　　者：曾祥福[1] 盛瑶环[2] 刘佛林[3] 王建忠[1] 邓伟[1] 

机构地区：[1]赣南医学院附属医院普外科,江西赣州341000 [2]赣南医学院解剖教研室,江西赣州341000 [3]赣南医学院附属医院泌尿外科,江西赣州341000

出　　处：《岭南现代临床外科》2006年第6期411-413,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的评价保留盆腔植物神经的直肠癌根治术对男性患者的临床意义。方法对我科在1999年4月～2004年月436例DukesA、B、C期直肠癌患者行保留盆腔植物神经的直肠癌根治术进行回顾性分析。结果36例术后排尿困难总发生率为36.1%(13/36),性功能障碍总发生率27.7%(10/36),与传统术式的60.8%和63.9%相比有显著差异(P<0.01)。术后随访5年生存率52.8%(19/36),与传统术式54.6%无显著差异,手术死亡率为零。结论保留盆腔植物神经的直肠癌根治术能有效地减少男性患者术后性功能和排尿功能障碍。其术后生存率、复发率与传统手术相比,无显著差异,它可作为一种定型的手术在临床推广。Objective To evaluatc the clinical significance of radical operation of preserved pelvic autonomic nerve for rectal cancer. Methods From April 1999 to April 2006,36 cases with rectal cancer of Dukes A,B and C stage received radical operation of preserved pelvic autonomic nerve were analyzed retrospectively. Results The total postoperative dysuresia rate and total sexual disturbance rate were 36.1%（13/36） and 27.6% （10/36） respectively. It had a significant difference compared with the traditional operation （P〈0.001）. The postoperative mortality was zero. Conclusion The radical operation of preserved pelvic auto nomic nerve can effectively reduce the occurrence of postoperative dysuresia and sesual disturbance in male. It＇s postoperative survival rate and recurrent rate were no significant difference comparing with traditional procedures. It would be popularized as acommitted operation.

关 键 词：直肠癌 盆丛 排尿障碍 性功能障碍 

分 类 号：R735.37[医药卫生—肿瘤]