保留盆腔自主神经的全直肠系膜切除术对患者排尿及性功能的影响  

Effects of pelvic autonomic nerve preservation total mesorectal excision on the urinary and sexual function in patients with

作　　者：蒋大平[1] 赵国海[1] 史良会[1] 徐华平[1] 张义胜[1] 

机构地区：[1]皖南医学院第一附属医院,安徽芜湖241000

出　　处：《中国农村卫生》2013年第04Z期26-27,共2页

摘　　要：目的探讨保留盆腔自主神经的全直肠系膜切除术对直肠癌患者排尿及性功能的影响。方法2011年4月-2012年12月，60例直肠癌患者随机分为对照组和研究组，每组30例，对照组行传统直肠癌根治术，研究组采用保留盆腔自主神经的全直肠系膜切除术，术后随访，对患者排尿及性功能情况进行调查统计分析。结果研究组患者术后出现排尿功能障碍者4例，对照组出现排尿功能障碍者12例，两组进行对比，研究组患者排尿功能明显优于对照组（P〈0．05）；研究组男性发生性功能障碍者6例，女性发生性功能障碍者7例，与对照组比较，差异显著（P〈0．01）。讨论：保留盆腔自主神经的全直肠系膜切除术可有效地降低直肠癌术后排尿和性功能障碍的发生率。Objective To explore the effects of pelvic autonomic nerve preservation of total mesorectal excision in rectal cancer patients with voiding and sexual function. Methods from 2011 April -2012 year in December, 60 cases of rectal cancer patients were randomly divided into study group and control group, 30 cases in each group, the control group received traditional radical resection of rectal cancer, research group with pelvic auto nomic nerve preservation and total mesorectal excision, postoperative follow--up, the urinary and sexual function of the patients can carry out investi gation and statistical analysis. Results the emergence of voiding dysfunction in patients of the study group 4 cases, control group had voiding dys function in 12 cases, were compared between the two groups, study group patients with voiding function was significantly better than the control group （P〈0.05） ; 6 cases of study group of men have sexual dysfunction, 7 cases of female sexual dysfunction, compared with the control group, sig- nificant differences （P〈0.0l）. Discussion： the pelvic autonomic nerve preservation and total mesorectal excision can effectively reduce the incidence of urinary and sexual dysfunction after operation {or rectal cancer.

关 键 词：全直肠系膜切除术 直肠癌 性功能 影响 

分 类 号：R735.37[医药卫生—肿瘤]