论文部分内容阅读
目的探讨保留盆腔内脏神经的直肠癌扩大根治术的临床意义。方法回顾性分析98例保留神经的直肠癌根治术后患者的排尿、性功能及术后生存情况。结果98例患者中61例(62.3%)术后可以正常勃起,56例患者(57.1%)有正常的性功能。57例患者的平均导尿时间为60h,残余尿量为28ml,最大尿意尿量为400ml。保留内脏神经患者的5年生存率为61.2%。结论保留盆腔内脏神经的直肠癌扩大根治术能减少术后排尿及性功能障碍的发生率,且并不影响术后生存率,是治疗直肠癌的理想术式。
Objective To explore the clinical significance of extended radical resection of rectal cancer with pelvic visceral nerve preservation. Methods Ninety-eight patients with rectal cancer after radical resection of nerve preservation were retrospectively analyzed for urination, sexual function and postoperative survival. Results Of the 98 patients, 61 (62.3%) had normal erection after surgery and 56 patients (57.1%) had normal sexual function. The mean catheterization time of the 57 patients was 60 h, the residual urine volume was 28 ml, and the maximum urine urine volume was 400 ml. The 5-year survival rate of patients with preserved visceral nerves was 61.2%. Conclusions Extended radical resection of pelvic visceral nerve can reduce the incidence of postoperative urination and sexual dysfunction without affecting the postoperative survival rate. It is an ideal surgical treatment for rectal cancer.