直肠脱垂手术中保留盆腔自主神经疗效观察.docVIP

直肠脱垂手术中保留盆腔自主神经疗效观察【摘要】 目的 研究直肠脱垂手术中保留盆腔自主神经的方法及意义。方法 选择2006年7月～2011年12月期间收治的62例直肠脱垂患者，其中31例患者作为观察组行保留自主神经的直肠黏膜固定术，另外31例患者作为对照组行常规的直肠悬吊术。对比观察组两组术后排尿功能、性功能。结果 观察组术后排尿功能显著好于对照组（P＜0.01）,术后性功能显著好于对照组（P＜0.01）。结论 保留盆腔自主神经的直肠脱垂手术与传统手术比较，行保留盆腔自主神经的患者对排尿功能以及性功能影响较小，值得临床推广。 【关键词】 直肠脱垂；盆腔自主神经；手术 文章编号：1003-1383(2012)04-0491-03 中图分类号：R 657.1+9 文献标识码：A doi:10.3969/j.issn.1003-1383.2012.04.015 Observation of the curative effect in rectal prolapse operation with pelvic autonomic nerve preservation LIU He,LONG Renping,HUANG Zhilin,LU Hao (Department of Anorectal,The Third People’s Hospital of Nanning,Nanning 530003,Guangxi,China) 【Abstract】 Objective To investigate the methods and significance of preserving pelvic autonomic nerve in operation of rectal prolapse. Methods 62 cases with rectal prolapse,who were in hospital from 2006 July to 2011 December,were chosen. Among them,31 cases as the observation group underwent surgery for rectal mucosal fixation with autonomic nerve preservation,and another 31 cases as control group underwent conventional rectal suspension. After operation,comparative observation were given to the urinary functions and sexual function of these two groups. Results After operation,the voiding function of the observation group was significantly better than that of the control group(P＜0.01),and their sexual function was also significantly better than that of the control group(P＜0.01). Conclusion Compared to the conventional surgery,rectal prolapse operation with pelvic autonomic nerve preservation has less influence on the voiding function and sexual function of patients and is worthy of clinical application. 【Key words】 rectal prolapse;pelvic autonomic nerve;operation 复情况。基于此，在进行直肠脱垂的手术时要保留盆腔自主神经，避免其受到损伤。笔者对收治的62例直肠脱垂患者行不同的手术治疗，研究保留盆腔自主神经的手术方法以及意义，现总结报告如下。 资料与方法 1.一般资料 选择从2006年7月～2011年12月到我院就诊的62例男性直肠脱垂患者作为研究对象，年龄16～79岁，平均年龄42.5岁；病程3个月～58年。随机分为两组，观察组 31例，行保留盆腔自主神经的直肠黏膜固定术，平均年龄（41±9)岁；病程(24±11)年。一型患者23例，完全保留盆腔的自主神经；二型患者8例，保留一侧