CAJ | 학술논문

目的探讨腹腔镜中低位直肠癌根治术对男性患者性功能及排尿功能的影响.方法回顾性分析2006年5月至2009年3月解放军总医院收治的150例男性中低位直肠癌患者的临床资料,其中腹腔镜组68例,开腹组82例.比较两组患者术后6、12个月勃起功能障碍和射精功能障碍发生率及近、远期排尿功能障碍发生率,计数资料采用x2检验.结果腹腔镜组与开腹组患者术后6个月勃起功能障碍、术后6个月射精功能障碍、术后12个月射精功能障碍、远期排尿功能障碍发生率分别为15%(10/68)、16%(11/68)、10%(7/68)、0和22%(18/82)、23%(19/82)、21%(17/82)、2%(2/82),两组比较,差异无统计学意义(x2=1.285,1.137,3.013,1.681,P>0.05).腹腔镜组与开腹组患者术后12个月勃起功能障碍、近期排尿功能障碍发生率分别为7%(5/68)、4%(3/68)和17%(14/82)、20%(16/82),两组比较,差异有统计学意义(x=4.565,5.930,P<0.05).结论腹腔镜中低位直肠癌根治术能减少男性患者盆自主神经损伤,提高患者术后生命质量.
목적 탐토복강경중저위직장암근치술대남성환자성공능급배뇨공능적영향.방법 회고성분석2006년5월지2009년3월해방군총의원수치적150례남성중저위직장암환자적림상자료,기중복강경조68례,개복조82례.비교량조환자술후6、12개월발기공능장애화사정공능장애발생솔급근、원기배뇨공능장애발생솔,계수자료채용x2검험.결과 복강경조여개복조환자술후6개월발기공능장애、술후6개월사정공능장애、술후12개월사정공능장애、원기배뇨공능장애발생솔분별위15%(10/68)、16%(11/68)、10%(7/68)、0화22%(18/82)、23%(19/82)、21%(17/82)、2%(2/82),량조비교,차이무통계학의의(x2=1.285,1.137,3.013,1.681,P>0.05).복강경조여개복조환자술후12개월발기공능장애、근기배뇨공능장애발생솔분별위7%(5/68)、4%(3/68)화17%(14/82)、20%(16/82),량조비교,차이유통계학의의(x=4.565,5.930,P<0.05).결론 복강경중저위직장암근치술능감소남성환자분자주신경손상,제고환자술후생명질량.
Objective To evaluate the effects of laparoscopic radical resection of mid-low rectal cancer on sexual and urinary functions of male patients. Methods The clinical data of 150 patients with mid-low rectal cancer who were admitted to the PLA General Hospital from May 2006 to March 2009 were retrospectively analyzed. Sixty-eight patients were allocated to laparoscopic group and 82 to open group. The incidences of erectile and ejaculatory dysfunction and the short- and long-term urinary dysfunction of patients in the 2 groups were compared seperately at 6 and 12 months after the operation. All data were analyzed using the chi-square test. Results The incidences of erectile and ejaculation dysfunction at 6 months after operation, incidence of ejaculation dysfunction at 12 months after operation, and long-term urinary dysfunction were 15% (10/68), 16% (11/68), 10% (7/68) and 0 in the laparoscopic group, and 22% (18/82), 23% (19/82), 21% (17/82) and 2% (2/82) in the open group, respectively, no significant difference between the two groups was found (x2 = 1. 285, 1. 137, 3. 013, 1.681, P>0. 05). The incidences of erectile dysfunction at 12 months after operation and short-term urinary dysfunction were 7% (5/68) and 4% (3/68) in the laparoscopic group, and 17% (14/82) and 20% (16/82) in the open group, respectively, a significant difference between the two groups was observed (x = 4. 565, 5.930, P <0.05). Conclusion Laparoscopic radical resection of mid-low rectal cancer can reduce the injury of pelvic autonomic nerve and improve the life quality of patients.