中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
8期
865-867
,共3页
付建成%阎涛%李聪%陈宏
付建成%閻濤%李聰%陳宏
부건성%염도%리총%진굉
直肠癌%全直肠系膜切除%保留盆腔自主神经
直腸癌%全直腸繫膜切除%保留盆腔自主神經
직장암%전직장계막절제%보류분강자주신경
Rectal cancer%Total mesorectal excision%Pelvic autonomic nerve preservation
目的 探讨全直肠系膜切除(TME)联合保留盆腔自主神经的直肠癌根治术对男性直肠癌患者术后排尿及性功能的影响.方法 回顾分析2009年3月至2010年3月中国医学科学院肿瘤医院收治的147例全直肠系膜切除联合保留盆腔自主神经的直肠癌根治术的临床资料.结果 患者无手术死亡,术后随访0.5～1.0年,排尿功能障碍9例(6.12%),性功能障碍11例(7.48%),局部复发12例(8.16%).结论 直肠癌根治术中实施保留盆腔自主神经,可以改善男性患者的排尿及性功能,提高术后生活质量,且不增加局部复发率.
目的 探討全直腸繫膜切除(TME)聯閤保留盆腔自主神經的直腸癌根治術對男性直腸癌患者術後排尿及性功能的影響.方法 迴顧分析2009年3月至2010年3月中國醫學科學院腫瘤醫院收治的147例全直腸繫膜切除聯閤保留盆腔自主神經的直腸癌根治術的臨床資料.結果 患者無手術死亡,術後隨訪0.5～1.0年,排尿功能障礙9例(6.12%),性功能障礙11例(7.48%),跼部複髮12例(8.16%).結論 直腸癌根治術中實施保留盆腔自主神經,可以改善男性患者的排尿及性功能,提高術後生活質量,且不增加跼部複髮率.
목적 탐토전직장계막절제(TME)연합보류분강자주신경적직장암근치술대남성직장암환자술후배뇨급성공능적영향.방법 회고분석2009년3월지2010년3월중국의학과학원종류의원수치적147례전직장계막절제연합보류분강자주신경적직장암근치술적림상자료.결과 환자무수술사망,술후수방0.5～1.0년,배뇨공능장애9례(6.12%),성공능장애11례(7.48%),국부복발12례(8.16%).결론 직장암근치술중실시보류분강자주신경,가이개선남성환자적배뇨급성공능,제고술후생활질량,차불증가국부복발솔.
Objective To investigate the effect of pelvic autonomic nerve preservation (PANP) for urinary function and sexual dysfunction after total mesorectal excision (TME) of rectal cancer in male patients. Methods A total of 147 patients, hospitalized from March 2009 to March 2010,were enrolled into this study and received TME plus PANP combination treatment. The clinical data of these cases were analyzed retrospectively. Results There were no operative deaths. The 0. 5 - 1.0 years follow-up data showed that 9 cases (6. 12% ) had voiding dysfunction, 11 cases (7.48%) had sexual dysfunction, 12 cases ( 8.16% ) had local recurrence. Conclusion TME plus PANP combination treatment can improve the urinary and sexual function,without increasing the postoperative local recurrence rate.
