摘要
目的探讨在保留盆腔自主神经下的全直肠系膜切除术(TME)对男性患者术后排尿功能和性功能的影响。方法回顾分析85例直肠癌根治术中保留自主神经组和不保留自主神经组术后排尿和性功能障碍的发生率。结果45例保留自主神经组排尿障碍发生率为24.44%,勃起障碍发生率为33.33%,射精障碍发生率为35.56%;40例不保留组排尿障碍发生率为62.50%,勃起障碍发生率为65.00%,射精障碍发生率为67.50%;两组比较差异有统计学意义(P<0.01)。Miles术排尿障碍发生率为27.78%,勃起障碍发生率为38.89%,射精障碍发生率为33.33%;Dixon术排尿障碍发生率为22.22%,勃起障碍发生率为29.63%,射精障碍发生率为37.04%,两种手术方式之间差异无统计学意义(P>0.05)。结论男性直肠癌患者术中保留自主神经能降低术后排尿功能及性功能障碍的发生率。
Objective To investigate the effects of pelvic autonomic nerve preservation（PANP） on the urinary and sexual functions of male patients with total mesorectal excision（TME）.Methods The urinary and sexual disfunctions rate of 85 male patient who undergone PANP and without PANP following total mesorectal excision（TME） in radical resection of rectal carcinoma were retrospectively analyzed.Results The urinary dysfunction rate was 24.44% and 62.50%,the erectile dysfunction rate was 33.33% and 65.00%,the ejaculatory dysfunction rate was 35.56% and 67.50% in PANP group（45 cases） and without PANP group（40 cases）,with the difference being significant（P0.01）.There were no significant differences for the occurrence of sexual and urinary dysfunction between the different operation style（P0.05）.Conclusion The total mesorectal excision with pelvic autonomic nerve preservation in rectal carcinoma could protect effectively the sexual and urinary function,and improve the quality of life of the patients.
出处
《中华全科医学》
2010年第2期171-172,共2页
Chinese Journal of General Practice
