摘要
目的探讨腹腔镜手术和传统开腹手术在男性低位直肠癌根治术保留盆腔自主神经对患者术后排尿及性功能的近期和远期影响。方法回顾分析本院2010年1月~2014年12月期间男性直肠癌患者传统开腹手术106例,腹腔镜手术102例的临床资料,统计分析其术后1月和1年两个时间点对患者术后排尿及性功能的影响。结果研究结果显示直肠癌手术后1个月,开腹组排尿功能障碍发生率34.91%、勃起功能障碍发生率53.77%、射精功能障碍发生率61.32%。而腹腔镜组排尿功能障碍发生率11.76%、勃起功能障碍发生率36.27%、射精功能障碍发生率33.33%。术后1月两组差异有统计学意义（P〈0.05）。直肠癌手术后1年研究结果显示,开腹组排尿功能障碍发生率8.49%、勃起功能障碍发生率28.30%、射精功能障碍发生率26.42%。而腹腔镜组排尿功能障碍发生率5.88%、勃起功能障碍发生率21.57%、射精功能障碍发生率20.59%。术后1年两组差异无统计学意义（P〉0.05）。结论腹腔镜组在男性低位直肠癌的自主神经功能保护中,早期表现出了比传统手术组有较好的临床效果,TME＋PANP手术能够降低男性患者术后早期排尿功能及性功能障碍的发生率,提高患者的生活质量。
Objective To evaluate the urinary and sexual functions of short and long-term after pelvic autonomic never preserving in laparoscopic radical resection for low rectal cancer in male patients. Methods Retrospective analysis was made on clinical data of 208 male patients with low rectal cancer between January 2010 to December 2014. They were divided into two groups（ open group,n = 106 and laparoscopic group,n = 102）.Urinary function and sexual function were retrospectively analyzed in traditional surgery group and laparoscopic group after 1 month and 1 year of operations. Results One month later,the urinary disorder rate,effective disorder rate and ejaculation disorder rate of open group were 34. 91%,53. 77% and 61. 32%,while values of laparoscopic group were 11. 76%,36. 27% and 33. 33%. The difference between them was statistically significant（ P〈0. 05）. One year later,the urinary disorder rate,effective disorder rate and ejaculation disorder rate of open group were 8. 49%,28. 30% and 26. 42%,while values of laparoscopic group were 5. 88%,21. 57% and 20. 59%.The difference between them was not statistically significant（ P〉0. 05）. Conclusions The laparoscopic radical resection with pelvic autonomic nerve preservation can effectively reduce the incidence of urinary dysfunction and sexual dysfunction after short-term operation,and can improve patients＇ quality of life after surgery.
出处
《中国现代手术学杂志》
2016年第1期1-4,共4页
Chinese Journal of Modern Operative Surgery
关键词
直肠肿瘤
盆腔自主神经
性功能障碍
排尿障碍
rectal neoplasms
pelvic automatic nerve
sex disorders
urination disorders
