摘要
目的：通过对绍兴地区男性中低位直肠癌多中心手术患者进行术后随访,探讨手术对男性性功能的影响。方法：对2011年1月至2014年5月该地区内参与研究的5所综合性医院就诊并对临床诊断确诊为中低位直肠癌的213例无性功能障碍患者进行术后随访调查分析。结果：术后勃起功能和射精功能比较,18~40岁组勃起功能和射精功能正常（Ⅰ级）的患者分别占总患者数的54.5%和48.5%,出现勃起功能障碍和射精功能障碍（Ⅱ、Ⅲ级）的患者分别占总患者数的45.5%和51.5%;41~60岁组勃起功能和射精功能正常（Ⅰ级）的患者分别占总患者数的57.1%和52.4%,出现勃起障碍和射精功能障碍（Ⅱ、Ⅲ级）的患者分别占总患者数的42.9%和47.6%;61~70岁组勃起功能和射精功能正常（Ⅰ级）的患者分别占总患者数的55.1%和55.1%,出现勃起功能障碍和射精功能障碍（Ⅱ、Ⅲ级）的患者分别占总患者数的44.9%和57.1%。结论：对绍兴地区男性中低位直肠癌患者术后性功能的随访调查研究发现,手术后患者发生性功能障碍的几率较高约48%左右,与患者年龄等无明显相关性。
Objectives： To explore the effects of low colorectal cancer surgery on male sexual function through follow- up investigation and analysis on patients in Shaoxing area. Methods： 213 patients of low colorectal cancer with normal sexual function in 5 general hospitals,from January 2011 to May 2014,participated in the study. Follow- up investigation and analysis of sexual function were performed. Results： Due to the comparison of postoperative erectile function and ejaculation,normal erectile function rate and ejaculatory function（ Ⅰ grade） rate in18 to 40 years old group were 54. 5% and 48. 5%,respectively. The rates of patients with erectile dysfunction and ejaculatory dysfunction（ Ⅱ Patients Ⅲ grade） were 45. 5% and 51. 5%,respectively. Normal erectile function rate and ejaculatory function（ Ⅰ grade） rate in 41 to 60 age group were57. 1% and 52. 4%,respectively. The rates of patients with erectile dysfunction and ejaculatory dysfunction（ Ⅱ Patients Ⅲ grade） were 42. 9% and47. 6%,respectively; normal erectile function rate and ejaculatory function（ Ⅰ grade） rate in 61 to 70 age group were both 55. 1%. The rates of patients with erectile dysfunction and ejaculatory dysfunction（ Ⅱ Patients Ⅲ grade）were 44. 9% and 57. 1%,respectively. Conclusion： Follow- up survey of the male patients＇ sexual function after low colorectal cancer surgery find that risk of getting sexual dysfunction for patients receiving low colorectal cancer surgery is as high as 48%,which has no significant correlation with age of patients.
出处
《中国性科学》
2015年第3期24-26,共3页
Chinese Journal of Human Sexuality
关键词
直肠癌
性功能
多中心
随访
Colorectal cancer
Sexual function
Multi-center
Follow-up
