保留盆腔自主神经在男性直肠癌根治术中的应用.pdfVIP

维普资讯 ·430 · 肿瘤防治研究2008年第 35卷第6期 · 临床应用 · 保留盆腔 自主神经在男性直肠癌根治术中 的应用 邱红根h，杨家英 ，李 祥 ，朱耀明～，宋子华 ，严 俊 ApplicationofPelvicAutonomicNeverPreservationonM alePatientswithRectalCancer QIU Hong-gen ，YANGJia-yinga，IAXiang 。ZHU Yao—ming。。，SONG Zi—hua2．YANJun2 1．DepartmentofGeneralSurgery ，TheFirstCollegeofClinicalMedicalScienceofChinaThreeGor— gesUniversity，Yichang443003，China；2．DepartmentofGeneralSurgery，YichangCentralPeople’S Hospital CorrespondingAnthor：LjXiang。E-mail：dianli38()2636 ina． COTII Abstract：Objective ToevaluatetheeffectsofPANPonmalepatientswithrectalcancerfollowingsexual dysfunctionandurinarydysfunction．Methods Retrospectively，theurinarydysfunction，sexualdysfunc— tionandlocalrecurrencerateofrespective56patientsincaseand controlgroupwereanalyzedby case- controlstudy．Results Theurinary dysfunction ratewere25．00 and 6() ． 71 in caseand control group，andwasfoundsignificantdifference(P0．O1)．Theerectiledysfunctionratewere26．79 and 75．00 incaseandcontrolgroupandwasfoundsignificantdifference(P ()．O1)．28．57 and69．64 of~aculatorydisorderinthetwogroupsandhadsignificance(PO．1)1)．Localrecurrencewas7．14 and8．93 ，nosignificantdifferencewasfoundinlocalrecurrencebetweencaseandcontrolgroup．Con— clusion Theradicaloperationwith pelvicautonomicnervepreservation forrectalcancercould reduce sexualdisorderrate，urinarydisorderrateandbetterlifequalitywithoutattheexpenseoflocalrecur— rence． Keywords．．Rectalcancersurgery；Pelvicautonomicnervepreservation；Urinarydysfunction；Sexualdys— function；Localrecurrence 摘 要：目的 探讨保留盆腔 自主神经直肠癌根治术对减少男性患者术后排尿功能障碍和性功能障碍 的作用。方法 采用病例对照法，分析 56例直肠癌根治术中保留盆腔 自主神经组和不保留组患者术后 排尿和性功能障碍的发生率及局部复发率。结果 排尿功能障碍总发生率为研 究组25．)(1) (14／56)， 对照组为6O．71 (34／56)，两组比较差异有统计学意K(PO．O1)。研究组和对照组病人术后勃起功能 障碍的发生率分别为26．79 和75．0() ，射精功能障碍发生率分别为28．57 和69．64 ，两组比较差异 有统计学意K(