盆腔自主神经保留对直肠癌术后排尿及性功能影响的观察  

The observation of the pelvic autonomic nerve preserving operation for rectal cancer in the protection of postoperative urinary and male sexual function

作　　者：刘书先[1] 许榕生[1] 吴文周[1] 李永海[1] 

机构地区：[1]安徽省立友谊医院外科,230011

出　　处：《中国实用医药》2009年第12期21-22,共2页China Practical Medicine

摘　　要：目的探讨盆腔自主神经保留对男性中下段直肠癌术后排尿及性功能的影响。方法采用病例对照的方法,回顾性分析了2006年4月至2008年7月36例在直肠癌根治术中盆腔自主神经保留组(PANP)和非PANP组患者术后排尿和性功能障碍的发生率。结果研究组(PANP)和对照组(非PANP)患者术后勃起功能障碍的发生率分别为27.78%和61.11%;射精功能障碍的发生率分别为33.33%和72.22%;排尿功能障碍的发生率分别为38.89%和77.78%;差异均有统计学意义(P<0.05)。结论对60岁以下,DukesC期以前的男性患者,在实施直肠癌根治术的同时保留盆腔自主神经,可以改善患者的排尿和性功能,提高患者的术后生存质量。Objective To evaluate automatic nerve preserving operation for rectal cancer in the protection of postoperative urinary and male sexual functions. Methods Retrospectively, the sexual dysfunction and urination dysfunction of respective 18 patients in case and control group were analysed by case control study. Results The erectile dysfunction rate were 27. 78% and 61.11% in case and control group , and was found significant difference（ P 〈 0. 05） . 33.33% and 72. 22% of ejaculatory disorder in the two groups and had significance （ P 〈 0. 05） . Urinal dysfunction rate were 38.89% and 77.78% in case and control group ,and was found significant difference （ P 〈 0. 05 ） . Conclusion Male patients aged younger than 60 years old, with rectal carcinoma of Ducks A to C are suitable for receiving PANP radical resection for better maintenance of the urinal and sexual function.

关 键 词：直肠肿瘤 盆腔自主神经 性功能障碍 排尿障碍 

分 类 号：R735.37[医药卫生—肿瘤] R696[医药卫生—临床医学]