中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
12期
1316-1318
,共3页
陈斌%林奎生%陈进渠%蒲斌%洪慧东
陳斌%林奎生%陳進渠%蒲斌%洪慧東
진빈%림규생%진진거%포빈%홍혜동
直肠癌%盆腔自主神经%性功能%排尿功能
直腸癌%盆腔自主神經%性功能%排尿功能
직장암%분강자주신경%성공능%배뇨공능
Rectal cancer%Pelvic autonomic nerve%Sexual function%Urinary function
目的 探讨保留盆腔自主神经的直肠癌根治术对男性患者术后性功能及排尿功能的影响.方法 对90例男性直肠癌根治术中保留盆腔自主神经和不保留自主神经术后性功能和排尿障碍的发生率进行分析.结果 45例保留自主神经组勃起障碍发生率为26.67％,射精障碍发生率为24.44％,排尿障碍发生率为28.89％；45例不保留组勃起障碍发生率为57.78％,射精障碍发生率为60.00％,排尿障碍发生率为62.22％；2组比较差异均有统计学意义(x2值分别为8.92、11.66、10.08,P均＜0.01).结论 保留男性盆腔自主神经的直肠癌根治术能有效降低术后性功能障碍和排尿功能障碍.
目的 探討保留盆腔自主神經的直腸癌根治術對男性患者術後性功能及排尿功能的影響.方法 對90例男性直腸癌根治術中保留盆腔自主神經和不保留自主神經術後性功能和排尿障礙的髮生率進行分析.結果 45例保留自主神經組勃起障礙髮生率為26.67％,射精障礙髮生率為24.44％,排尿障礙髮生率為28.89％；45例不保留組勃起障礙髮生率為57.78％,射精障礙髮生率為60.00％,排尿障礙髮生率為62.22％；2組比較差異均有統計學意義(x2值分彆為8.92、11.66、10.08,P均＜0.01).結論 保留男性盆腔自主神經的直腸癌根治術能有效降低術後性功能障礙和排尿功能障礙.
목적 탐토보류분강자주신경적직장암근치술대남성환자술후성공능급배뇨공능적영향.방법 대90례남성직장암근치술중보류분강자주신경화불보류자주신경술후성공능화배뇨장애적발생솔진행분석.결과 45례보류자주신경조발기장애발생솔위26.67％,사정장애발생솔위24.44％,배뇨장애발생솔위28.89％；45례불보류조발기장애발생솔위57.78％,사정장애발생솔위60.00％,배뇨장애발생솔위62.22％；2조비교차이균유통계학의의(x2치분별위8.92、11.66、10.08,P균＜0.01).결론 보류남성분강자주신경적직장암근치술능유효강저술후성공능장애화배뇨공능장애.
Objective To evaluate the effects of pelvic autonomic nerve preservation (PANP) during the radical resection of rectal carcinoma on the sexual and urinary function of male patients.Methods The sexual and urinary dysfunction rates from 45 male patients who undergone PANP and 45 control patients who did not undergo PANP during radical resection of rectal carcinoma were analyzed.Results In the PANP group,the incidences of erectile dysfunction,ejaculatory dysfunction and urinary dysfunction were 26.67％,24.44％ and 28.89％,respectively.But in control group,the above three rates were 57.78％,60.00％ and 62.22％ in order.The rates of these three dysfunctions significantly were different between the two groups ( x2 =8.92,11.66,10.08,P ＜ 0.01 ).Conclusion PANP during radical resection of rectal carcinoma could reduce the post-operative sexual dysfunction and urinary dysfunction.
