系膜切除加盆腔自主神经保留在直肠癌术中的应用  

Application of Mesangial Excision Combined with Pelvic Autonomic Nerve Preservation in Rectal Cancer Surgery

作　　者：张波[1] 张年庆[1] 王凯[1] 胡季洋[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院肿瘤康复部外三科,233004

出　　处：《中华全科医学》2010年第3期276-277,共2页Chinese Journal of General Practice

摘　　要：目的探讨全直肠系膜切除术加盆腔自主神经保留在中、低位直肠癌根治术中的应用及其临床意义。方法对2005年1月-2007年7月收治的11例行中低位直肠癌根治术中,同时采用全直肠系膜切除加保留盆腔自主神经手术患者的病历资料进行回顾性分析。结果本组11例,均顺利完成手术,无手术死亡,术后无吻合口漏,仅1例术后2年会阴部复发,6例60岁以下男性患者性功能指标基本正常,3例55岁以下女性患者性功能状态良好;11例患者中无尿失禁,排尿基本正常,排便正常。结论全直肠系膜切除术(盆腔自主神经保留在中、低位直肠癌根治术中应用未增加术后并发症,且有效地提高了患者生存质量。Objective To explore the clinical significance of total mesorectal excision and pelvic autonomic nerve preservation in the middle and low rectal cancer resection. Methods From January 2005 to July 2007,11 cases of radical resection of low rectal cancer were carried out in our department, meanwhile, total mesorectal excision combined with pelvic autonomic nerve preservation surgery was adopted, the patient＇ s medical records were analyzed retrospectively. Results A total of 11 cases received the successful completion of surgical operation, no operative deaths and postoperative anastomotic leakage occurred. Only 1 case recurred in perineal after 2 years. 6 cases of male patients under the age of 60 showed the indicators of normal sexual function, sexual function in 3 cases of female patients under the age of 55 was in good status. 11 cases of patients had no urinary incontinence, normal urination, and normal defecation. Conclusion Total mesorectal excision with pelvic autonomic nerve preservation in the middle and low rectal application of radical surgery can not increasing the postoperative complications, and can effectively improve the patients quality of life.

关 键 词：中 低位直肠癌 全直肠系膜 盆腔自由神经保留 

分 类 号：R735.37[医药卫生—肿瘤] R730.56[医药卫生—临床医学]