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目的探讨直肠癌根治术中保留盆腔自主神经,对男性排尿功能及性功能的影响。方法回顾分析与问卷形式调查92例60岁以下男性直肠癌患者保留盆腔自主神经手术后排尿功能性功能,及术后生存情况。结果术后84例(93.1%)于术后3 d内拔除尿管,平均留置导尿时间(60.1±2.4)h,残余尿量小于50 ml者占80.4%,50~100 ml者占17.4%,大于100 ml者占2.1%,问卷调查62.6%患者可以正常勃起,59%患者可以正常性生活。保留盆腔自主神经的患者5年生存率为62.1%。结论直肠癌根治术中保留盆腔自主神经,既不增加局部癌肿复发率,又可改善患者的排尿和性功能。
Objective To investigate the effect of preserving pelvic autonomic nerve in radical resection of rectal cancer on urinary function and sexual function in men. Methods Retrospective analysis and questionnaire survey of 92 cases of rectal cancer patients under 60 years of age retained pelvic autonomic nerve function after urinary function, and postoperative survival. Results After operation, 84 cases (93.1%) had catheter removed within 3 days after operation. The average catheterization time was 60.1 ± 2.4 h, the residual urine volume was less than 50 ml, 80.4%, and the volume of 50-100 ml was 17.4% , More than 100 ml accounted for 2.1%, 62.6% of the questionnaire patients can be normal erection, 59% of patients can normal sex life. The 5-year survival rate of patients with pelvic autonomic nerve preservation was 62.1%. Conclusions Retention of pelvic autonomic nerve in radical resection of rectal cancer can not increase the recurrence rate of local cancer, but also improve urination and sexual function of patients.