CAJ | 학술논문

目的：研究腹腔镜下直肠癌手术保留盆腔自主神经对男性排尿及性功能的影响。方法：回顾性分析我院2010年1月至2012年12月接受腹腔镜下直肠癌根治术80例患者，其中观察组的40例患者接受腹腔镜下直肠癌根治术，并保留盆腔自主神经；对照组的40例患者只接受腹腔镜下直肠癌根治术，不保留自主神经。比较两组患者排尿功能及性功能恢复情况。结果：观察组术后排尿功能障碍、性功能障碍与对照组比较差异均有统计学意义（P＜0.05），保留自主神经后排尿功能和性功能障碍的发生率更低。结论：腹腔镜下直肠癌手术保留盆腔自主神经有利于患者及时恢复，并有效减轻患者痛苦，提高患者的生存质量。
목적：연구복강경하직장암수술보류분강자주신경대남성배뇨급성공능적영향。방법：회고성분석아원2010년1월지2012년12월접수복강경하직장암근치술80례환자，기중관찰조적40례환자접수복강경하직장암근치술，병보류분강자주신경；대조조적40례환자지접수복강경하직장암근치술，불보류자주신경。비교량조환자배뇨공능급성공능회복정황。결과：관찰조술후배뇨공능장애、성공능장애여대조조비교차이균유통계학의의（P＜0.05），보류자주신경후배뇨공능화성공능장애적발생솔경저。결론：복강경하직장암수술보류분강자주신경유리우환자급시회복，병유효감경환자통고，제고환자적생존질량。
To study effects of laparoscopic rectal -carcinoma surgery with pelvic autonomic nerve preservation on the urinary and sexual functions of male patients.Methods:80 patients having received laparo-scopic rectal-carcinoma surgery in our hospital from January 2010 to December 2012 were selected and divided into two groups,with 40 patients in the observation group preserving pelvic autonomic nerve and the other 40 ones in the control group not.The urinary function and sexual function recovery of the two groups were compared.Results:Differences in the urinary function and sexual function recovery rate of the two groups were statistically significant (P<0.05 ),with lower incidence rate of urinary and sexual dysfunction in the pelvic autonomic nerve preservation group.Conclusion:Laparoscopic rectal-carcinoma surgery with pelvic autonomic nerve preservation is conducive to pa-tients’recovery in time,and can effectively alleviate the suffering of patients while improve the life quality of patients.