CAJ | 학술논문

在直肠全系膜切除术提出前，直肠癌术后膀胱排空障碍的发生率高达40．0％～60．0％，目前该并发症的发生率现已降至不足5．0％。外科手术是直肠癌术后膀胱排空障碍的主因：盆腔神经损伤、经腹会阴联合手术均会影响排尿功能，而术前排尿功能障碍等因素亦是引起该并发症的原因。对于该并发症的处理主要应注意术中仔细操作，人工神经管再造及骶神经电刺激亦为治疗直肠癌术后膀胱排空障碍提供了新的思路。
재직장전계막절제술제출전，직장암술후방광배공장애적발생솔고체40．0％～60．0％，목전해병발증적발생솔현이강지불족5．0％。외과수술시직장암술후방광배공장애적주인：분강신경손상、경복회음연합수술균회영향배뇨공능，이술전배뇨공능장애등인소역시인기해병발증적원인。대우해병발증적처리주요응주의술중자세조작，인공신경관재조급저신경전자격역위치료직장암술후방광배공장애제공료신적사로。
Before the introduction of principles of total mesorectal excision (TME), the reported incidence of bladder dysfunction after rectal cancer surgery ranged from 40.0% to 60.0%.The current incidence of post-operative bladder dysfunction has been decreased to below 5.0%.Bladder dysfunction after rectal cancer treatment is mainly caused by surgical factors , including injury of pelvic autonomic plexus , abdominoperineal resection, preoperative voiding dysfunctions and so on .Special attention to the pelvic autonomic nerves and careful surgical approach are required .Artificial nerve conduit and sacral nerve stimulation would provide a new idea for the management of post-operative bladder dysfunction .