套入式结肠直肠黏膜吻合保肛术对青年男性低位直肠癌术后性功能的影响  

Sexual function after abdominal-anus resection with telescopic anastomosis of colon rectal mucosa in young male patients with lower segment of rectal cancer

作　　者：朱自满[1] 李世拥[1] 陈纲[1] 苑树俊[1] 于波[1] 梁振家[1] 

机构地区：[1]北京军区总医院全军普通外科中心,100700

出　　处：《临床外科杂志》2007年第8期538-539,共2页Journal of Clinical Surgery

基　　金：国家自然科学基金资助项目(编号:30471700)

摘　　要：目的探讨套入式结肠直肠黏膜吻合保肛术对青年男性低位直肠癌患者术后性功能的影响。方法对68例低位直肠癌青年男性患者行套入式结肠直肠黏膜吻合术,分别于术前及术后调查其性功能。结果68例患者中术后性功能障碍共发生22例,发生率32.35%,其中勃起障碍15例,射精障碍7例。6例Dukes A期患者均未发生性功能障碍,Dukes B期及C期患者术后性功能障碍发生率分别为26.67%及38.30%,两者差异有统计学意义(P<0.05)。结论套入式结肠直肠黏膜吻合术可以很好地保护青年男性低位直肠癌患者的性功能,是一安全、有效的保肛术式。Objective To investigate the sexual function after abdominalanus resection with telescopic anastomosis of colon rectal mucosa in young male patients with lower segment of rectal cancer. Methods Sixty-eight young male cases of resection of lower segment rectal carcinoma were operated by telescopic colorectal mucosa anastomosis, and followed up for 6 months after operation to evaluate the sexual function. Results Six months after operation,22 patients （32.35 % ） had sexual dysfunction, including 15 cases of erection dysfunction and 7 cases of ejaculation dysfunction. The incidence of sexual dysfunction in patients with Dukes A, B, C grade was 0%, 26.67 % and 38.30 % respectively. There was significant difference （ P 〈 0.05 ） between Dukes B and Dukes C group. Conclusion Telescopic anastomosis of colon rectal mucosa is a safe sphincter-preserving surgery and can protect the sexual function in young male patients with lower segment of rectal cancer.

关 键 词：直肠癌 低位吻合 性功能 

分 类 号：R735.37[医药卫生—肿瘤]