CAJ | 학술논문

目的：比较和分析开腹与腹腔镜直肠癌根治术在保留盆腔自主神经对男性性功能影响效果，探讨更好的手术方法。方法：选择2010年10月到2013年10月在本院进行治疗的直肠癌男性患者100例，根据手术方法的不同将其分为两组，分别为开腹组(48例)和腹腔镜组(52例)，两组患者均采用保留盆腔自主神经的直肠癌根治术进行治疗，对两组患者术后性功能情况进行比较，分析其手术途径的影响作用。结果：LS组患者术后勃起功能障碍率和射精功能障碍率均明显低于OS组，且两组相比差异具有显著性(P＜0.05)。结论：腹腔镜直肠癌根治术保留盆腔自主神经能够有效降低男性患者术后性功能障碍的发生率，降低手术对于患者性功能的影响。
목적：비교화분석개복여복강경직장암근치술재보류분강자주신경대남성성공능영향효과，탐토경호적수술방법。방법：선택2010년10월도2013년10월재본원진행치료적직장암남성환자100례，근거수술방법적불동장기분위량조，분별위개복조(48례)화복강경조(52례)，량조환자균채용보류분강자주신경적직장암근치술진행치료，대량조환자술후성공능정황진행비교，분석기수술도경적영향작용。결과：LS조환자술후발기공능장애솔화사정공능장애솔균명현저우OS조，차량조상비차이구유현저성(P＜0.05)。결론：복강경직장암근치술보류분강자주신경능구유효강저남성환자술후성공능장애적발생솔，강저수술대우환자성공능적영향。
Objective: to compare and analysis of open and laparoscopic colorectal cancer radical effects on male sexual function in pelvic autonomic nerve preservation, to explore a better surgical method. Methods: in October 2010 to October 2013 in our hospital treated 100 cases of patients with colorectal cancer men, according to the different method of surgery to be divided into two groups, respectively laparotomy group (48 cases) and laparoscopic group (52 cases), two groups of patients with pelvic autonomic nerve preservation adopts colorectal cancer radical treatment, compared the two groups of patients with postoperative sexual function, and analyze the effect of surgical approach. Results: postoperative erectile dysfunction in patients with LS group, and ejaculation dysfunction rate were significantly lower than OS group, and compared two groups has significant difference (P < 0.05). Conclusion: laparoscopic colorectal cancer radical reservation.