腹腔镜与开腹直肠癌根治术保留盆腔自主神经对男性排尿及性功能影响的对比研究  

The comparative study of urinary and sexual function after laparoscopic and open radical resection of rectal carcinoma with pelvic autonomic nerve preservation in males

作　　者：郭炜[1] 王昭顺[2] 郭澎[2] 孙军席[2] 刘铁[2] 

机构地区：[1]山东大学医学院,山东济南250012 [2]潍坊市人民医院

出　　处：《腹腔镜外科杂志》2011年第6期436-438,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨腹腔镜直肠癌根治术保留盆腔自主神经对男性患者术后排尿及性功能的影响。方法：回顾分析2007-2010年为96例男性直肠癌患者施行腹腔镜手术的临床资料,总结其对患者术后排尿及性功能的影响,并与114例开腹手术对比。结果：腹腔镜组术后排尿功能障碍率10.42%,勃起功能障碍率13.54%,射精功能障碍率19.79%;开腹组分别为18.42%,25.43%,29.82%,两组差异均有统计学意义（P〈0.05）。结论：腹腔镜直肠癌根治术保留盆腔自主神经可有效降低男性患者术后排尿功能及性功能障碍的发生率,提高患者的生活质量。Objective：To evaluate the urinary and sexual functions after pelvic autonomic never preserving in laparoscopic radical resection for rectal cancer in male patients.Methods：Retrospective analysis was made on clinical data of 210 male patients with rectal cancer during 2007 to 2010.They were divided into two groups（laparoscopic group,n=96;open group,n=114）.Results：The urinary disorder rates,effective disorder rates and ejaculation disorder rates of laparoscopic group were 10.42%,13.54% and 19.79%,while values of open group were 18.42%,25.43% and 29.82%.The difference between them was statistically significant（P〈0.05）.Conclusions：The laparoscopic radical resection with pelvic autonomic nerve preservation can effectively reduce the incidence of urinary dysfunction and sexual dysfunction after operation,and improve patients＇ quality of life after operation.

关 键 词：直肠肿瘤 腹腔镜检查 盆腔自主神经 排尿 性功能 

分 类 号：R735.37[医药卫生—肿瘤]