CAJ | 학술논문

目的：对不同麻醉方法对腹腔镜盆腔植物神经保留术直肠癌患者性功能影响进行分析。方法：选取2010年11月至2013年11月在我院进行腹腔镜盆腔植物神经保留术直肠癌手术男性患者62例，随机进行分组，单纯组患者30例，单纯进行气管插管全麻；联合组患者32例，在常规气管插管全麻基础上联合硬膜外神经阻滞麻醉，观察两组患者术后性功能情况进行分析。结果：联合组患者阴茎勃起功能障碍发生比例、排尿功能障碍及射精功能障碍发生比例均明显优于单纯组患者，差异性显著，具有统计学意义（P＜0.05）。62例患者无一例因麻醉操作导致发生严重不良反应和全脊髓麻醉等严重不良后果。结论：腹腔镜盆腔植物神经保留术直肠癌患者在全麻基础上联合硬膜外神经阻滞麻醉可有效的降低术后射精功能障碍、排尿困难及勃起功能障碍等情况的发生，改善患者的生活质量，安全性较高，可依据患者进行应用和开展。
목적：대불동마취방법대복강경분강식물신경보류술직장암환자성공능영향진행분석。방법：선취2010년11월지2013년11월재아원진행복강경분강식물신경보류술직장암수술남성환자62례，수궤진행분조，단순조환자30례，단순진행기관삽관전마；연합조환자32례，재상규기관삽관전마기출상연합경막외신경조체마취，관찰량조환자술후성공능정황진행분석。결과：연합조환자음경발기공능장애발생비례、배뇨공능장애급사정공능장애발생비례균명현우우단순조환자，차이성현저，구유통계학의의（P＜0.05）。62례환자무일례인마취조작도치발생엄중불량반응화전척수마취등엄중불량후과。결론：복강경분강식물신경보류술직장암환자재전마기출상연합경막외신경조체마취가유효적강저술후사정공능장애、배뇨곤난급발기공능장애등정황적발생，개선환자적생활질량，안전성교고，가의거환자진행응용화개전。
Objectives:To analyze the effect of different anesthesia methods in laparoscopic pelvic autonom-ic nerve reserved surgery on the sexual function of patients with colorectal cancer.Methods:The 62 colorectal cancer patients having received laparoscopic pelvic autonomic nerve reserved surgery in our hospital from November 2010 to November 2013 were randomly divided into two groups:simple group of 30 patients to receive simple endo-tracheal intubation;joint group of 32 patients to receive epidural nerve block anesthesia on the basis of conventional general anesthesia.The postoperative sexual functions of the two groups were compared.Results:The incidence rates of erectile dysfunction,voiding dysfunction and ejaculatory dysfunction in the joint group were significantly bet-ter than that of the signal group,with a statistically significant difference (P<0.05 ).There was no case of serious adverse consequences caused by anesthesia or full spinal anesthesia.Conclusions:Epidural nerve block anesthesia combined with conventional general anesthesia can effectively reduce the incidence of postoperative ejaculatory dys-function,difficulty urinating and erectile dysfunction and other conditions and improve the life quality of patients. With higher security,it can be applied to and carried out on colorectal cancer patients receiving laparoscopic pelvic autonomic nerve reserved surgery.