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目的探讨盆腔自主神经保留对改善女性直肠癌根治术后性功能和排尿功能的价值。方法回顾性分析120例女性中下段直肠癌病例盆腔自主神经保留组和非盆腔自主神经保留组的性功能障碍和排尿功能障碍的发生率。差异采用χ2检验。结果两组患者术后性欲下降、性高潮减退、阴道湿润度减退和性交时疼痛的发生率分别为12.5%、10.5%、8.33%、4.15%和54.1%、45.9%、41.7%、37.5%,差异有统计学意义(P<0.01);后盆腔清除术研究组和对照组术后性功能障碍的发生率分别为58.33%和66.67%,两组比较差异无统计学意义(P>0.05)。结论盆腔自主神经保留可明显改善女性直肠癌手术后性功能和排尿功能;但是后盆清除术时保留自主神经效果并不显著。
Objective To investigate the value of pelvic autonomic nerve retention in improving the function of female patients with rectal cancer after radical surgery and urinary function. Methods Retrospective analysis of 120 cases of female patients with rectal cancer pelvic autonomic nerve preservation group and non-pelvic autonomic nerve preservation group of sexual dysfunction and urination dysfunction incidence. Differences using χ2 test. Results The incidence of postoperative loss of libido, orgasm, vaginal wetness and pain during intercourse were 12.5%, 10.5%, 8.33%, 4.15%, 54.1%, 45.9%, 41.7%, 37.5% The difference was statistically significant (P <0.01). The incidences of postoperative sexual dysfunction in post-pelvic resection group and control group were 58.33% and 66.67%, respectively. There was no significant difference between the two groups (P> 0.05). Conclusions Pelvic autonomic nerve preservation can significantly improve the postoperative sexual function and urinary function after rectal cancer in women. However, the effect of maintaining autonomic nerve after posterior basin resection is not significant.