CAJ | 학술논문

目的探讨男性直肠癌直肠系膜切除术(TME)保留盆腔自主神经(PANP)对排尿功能及性功能的影响.方法男性直肠癌患者240例,分为PANP组120例,行TME术并保留盆腔自主神经;对照组120例,不保留盆腔自主神经.统计学比较2组患者术后排尿功能及性功能、3年生存率和局部复发率. 结果PANP组术后排尿功能障碍发生率为30.8%、术后勃起功能障碍发生率为28.3%、术后射精功能障碍发生率为34.2%,对照组分别为55.0%、60.0%、62.5%,2组比较差异均有统计学意义(P<0.05);PANP组术后3年局部复发率和生存率分别为9.4%、75.0%,对照组为9.0%、65.0%,2组比较差异无统计学意义(P>0.05).结论男性直肠癌TME术中PANP可以明显改善患者的排尿功能和性功能,提高患者的术后生活质量,且不影响治疗效果.
목적 탐토남성직장암직장계막절제술(TME)보류분강자주신경(PANP)대배뇨공능급성공능적영향.방법 남성직장암환자240례,분위PANP조120례,행TME술병보류분강자주신경;대조조120례,불보류분강자주신경.통계학비교2조환자술후배뇨공능급성공능、3년생존솔화국부복발솔. 결과PANP조술후배뇨공능장애발생솔위30.8%、술후발기공능장애발생솔위28.3%、술후사정공능장애발생솔위34.2%,대조조분별위55.0%、60.0%、62.5%,2조비교차이균유통계학의의(P<0.05);PANP조술후3년국부복발솔화생존솔분별위9.4%、75.0%,대조조위9.0%、65.0%,2조비교차이무통계학의의(P>0.05).결론 남성직장암TME술중PANP가이명현개선환자적배뇨공능화성공능,제고환자적술후생활질량,차불영향치료효과.
Objective To study the effect of pelvic autonomic nerve preservation(PANP)on urination and sexual function in total mesorectal excision(TME). Methods Two hundred and forty cases of male rectal cancer patients,divided into the PANP who accept the pelvic autonomic nerve preservation in TME,and the control group of 120 patients who do not.The urination and sexual function were observed and compared.3-year-survival rate,local recurrence rates of the two groups were recorded. Results The urinary disorder rates,erective disorder rates and ejaculation disorder rates of PANP group were 30.8%,28.3%and 34.2%,while values of control group were 55.0%、60.0%and 62.5%.The difference between them had statistical significance(P<0.05).The 3-year-survival rate and local recurrence rate of PANP group were 9.4%and 75.0%.The 3-year-survival rate and local recurrence rate of control group were 9.0%and 65.0%.There was no significant difference between them(P>0.05). Conclusion The PANP technique in TME could improve the urinary and sexual function of male patients without affect the prognosis.