论文部分内容阅读
目的探讨在腹腔镜保留盆腔自主神经直肠癌根治术对排尿及性功能的影响。方法将某院2010年3月～2011年9月行手术治疗的80例直肠癌患者,随机分为腹腔镜PANP直肠癌根治术组(腹腔镜组)40例和传统开腹直肠癌手术治疗(开腹组)40例,比较两组患者的治疗效果。结果腹腔镜组的排尿功能障碍、勃起功能障碍、射精功能障碍的发生率分别为10.0%、32.5%、37.5%,对照组分别为37.5%、62.5%、67.5%,两组差异具有统计学意义(P﹤0.05)。结论腹腔镜PANP直肠癌根治术,可有效降低患者术后的性功能和排尿功能障碍,提高术后生活质量,且不增加局部复发率。
Objective To investigate the effects of laparoscopic radical pelvic autonomic rectal cancer on urination and sexual function. Methods A total of 80 patients with rectal cancer undergoing surgery from March 2010 to September 2011 in a hospital were randomly divided into laparoscopic PANP group (40 cases) and open surgery group Open group) 40 cases, the treatment effect of two groups were compared. Results The incidence of urinary dysfunction, erectile dysfunction and ejaculation dysfunction were 10.0%, 32.5% and 37.5% in the laparoscopic group and 37.5%, 62.5% and 67.5% in the control group respectively, with significant difference between the two groups (P <0.05). Conclusions Laparoscopic radical resection of PANP rectal cancer can effectively reduce the postoperative sexual function and urinary dysfunction and improve postoperative quality of life without increasing the local recurrence rate.