腹腔镜全直肠系膜切除术对男性排尿功能的影响  

Urinary function after total mesorectal excision by laparoscopic and open technique for male rectal cancer

作　　者：刘立业[1] 张超[1] 李艳[1] 甘露[1] 刘涛[1] 徐建华[1] 

机构地区：[1]第三军医大学西南医院普通外科,重庆400038

出　　处：《重庆医学》2009年第5期510-511,共2页Chongqing medicine

基　　金：全军"十一五"课题资助项目(06MB243);第三军医大学西南医院临床研究专项基金资助重大项目(SWH2005A001)。

摘　　要：目的对比分析腹腔镜(laparoscopic surgery,LS)和开腹(open surgery,OS)全直肠系膜切除术对术后男性排尿功能的影响。方法选择腹腔镜和开腹直肠癌根治术的患者(共108例)的病例资料,观察两组患者术后的尿管拔除时间、自由尿流率、排尿量、残尿量和逼尿肌收缩压等指标的变化。结果LS组与OS组术后尿管拔除时间分别为(5.4±1.3)d和(6.0±1.1)d,自由尿流率分别为(18.5±3.1)mL/s和(17.6±3.5)mL/s,排尿量分别为(278.4±35.0)mL和(260.3±45.5)mL,残尿量分别为(14.2±3.3)mL和(15.1±2.5)mL,LS组与OS组比较各指标无显著性差异。结论腹腔镜全直肠系膜切除术没有增加术后排尿功能障碍发生的风险,疗效与开腹手术相当。Objective To evaluate the urinary function after total mesorectal excision by laparoscopic （LS） and open （OS） technique. Methods A total of 108 patients with rectal cancer were assigned to laparoscopic（58 cases） or open（50 cases） resection,all patients were treated by total mesorectal excision（TME）. The urinary function was assessed after surgery by urine flowmetry. Results No significant differences were found after surgery between LS and OS in maximal flow rate [（18.5±3.1）mL/s vs （17.6± 3.5）mL/s）,voided volume [（278.4±35.0）mL vs （260.3±45.5）mL],residual urine volume [（14.2±3.3）mL vs （15. 1±2.5） mL], and urinary catheterization[ （5.4 ± 1.3）d vs （6.0± 1.1 ）d]. Conclusion Total mesorectal excision by laparoscopic technique is not associated with higher urinary dysfunction rate,and the result of laparoscopic surgery is satisfaction.＂

关 键 词：腹腔镜 直肠癌 全直肠系膜切除术 排尿功能 

分 类 号：R735.37[医药卫生—肿瘤] R730.58[医药卫生—临床医学]