保留盆腔自主神经对男性直肠癌TME术后性功能和排尿功能的影响

王亚国; 钱军

保留盆腔自主神经对男性直肠癌TME术后性功能和排尿功能的影响

王亚国,
钱军

The effects of TME with preserving pelvic autonomic nerve on sexual and urinary function of male

摘要

摘要: 目的：观察保留盆腔自主神经(pelvic autonomic nerve preservation，PANP)的全直肠系膜切除术(total mesorectal excision，TME)对男性直肠癌患者术后性功能及排尿功能的影响。方法：将行直肠癌根治术的108例男性患者，根据不同的手术方式分为TME+PANP组(56例)和TME组(52例)，并对2组患者术后的性功能(包括勃起功能和射精功能)及排尿障碍发生率和局部复发率进行比较。结果：TME+PANP组与TME组患者术后勃起功能障碍发生率分别为32.1%和78.8%，射精功能障碍发生率分别为35.7%和78.8%，排尿障碍发生率分别为26.8%和82.7%，2组差异均有统计学意义(P0.01)。PANP+TME组和TME组术后局部复发率分别为12.5%和11.5%，2组差异无统计学意义(P；0.05)。结论：PANP+TME在不增加肿瘤局部复发率的同时，能有效降低男性患者术后排尿和性功能障碍的发生率。

Abstract: Objective:To investigate the effects of total mesorectal excision(TME) with pelvic autonomic nerve preservation(PANP) on sexual and urinary function of male.Methods:One hundred and eight cases with radical resection for rectal carcinoma were divided into PANP and TME group(56 cases) plus TME group(52 cases) according to different operative techniques.Sexual dysfunction,urination disorder rates and local recurrence rates were compared.Results:Erectile dysfunction,ejaculation disorder and urination dysfunction rates of TME plus PANP group and TME group were 32.1% and 78.8%,35.7% and 78.8% and 26.8% and 82.7%,respectively,which differences had statistical significance(P0.01).The local recurrence rates of TME plus PANP group and TME were 12.5% and 11.5%,respectively,which differences had no statistical significance(P0.05).Conclusions:TME with PANP can effectively reduce the local recurrence and the sexual and urinary dysfunction rates.

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