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目的探讨盆腔自主神经保留对男性中下段直肠癌术后排尿及性功能的影响。方法采用病例对照的方法,回顾性分析了2006年4月至2008年7月36例在直肠癌根治术中盆腔自主神经保留组(PANP)和非PANP组患者术后排尿和性功能障碍的发生率。结果研究组(PANP)和对照组(非PANP)患者术后勃起功能障碍的发生率分别为27.78%和61.11%;射精功能障碍的发生率分别为33.33%和72.22%;排尿功能障碍的发生率分别为38.89%和77.78%;差异均有统计学意义(P<0.05)。结论对60岁以下,DukesC期以前的男性患者,在实施直肠癌根治术的同时保留盆腔自主神经,可以改善患者的排尿和性功能,提高患者的术后生存质量。
Objective To investigate the effect of pelvic autonomic nerve retention on postoperative urination and sexual function in male middle and lower rectal cancer. Methods A case-control study was conducted to retrospectively analyze the postoperative urination and sexual dysfunction in 36 patients with pelvic autonomic nerve preservation (PANP) group and non-PANP group from April 2006 to July 2008 rate. Results The incidence of postoperative erectile dysfunction in study group (PANP) and control group (non-PANP) was 27.78% and 61.11% respectively. The incidence of ejaculation dysfunction was 33.33% and 72.22% respectively. The incidence of urinary dysfunction Respectively, 38.89% and 77.78% respectively; the differences were statistically significant (P <0.05). Conclusions Pelvic autonomic nerve can be preserved in patients with DukesC before the age of 60 undergoing radical resection of the rectum, which can improve urination and sexual function of patients and improve postoperative quality of life.