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留盆腔植物神经对老年男性患者术后性功能及排尿功能的影响

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摘要】  目的：探讨保留盆腔植物神经的直肠癌手术对老年男性患者性功能及排尿功能的影响。方法：1999～2005年因直肠癌手术的170例老年男性患者分为PANP组（含规范的TME手术方法）和非PANP（TME规范情况不详），对两组术后性功能、排尿功能和局部复发率进行回顾性总结、比较。结果：PANP组性功能与排尿功能明显优于非PANP组，但统计学无显著差异（P<0.05）。而PANP组局部复发率低于非PANP组（P>0.05）。结论：老年直肠癌患者应重视性功能和排尿功能的保护。

【关键词】  直肠肿瘤 性功能 排尿功能 回顾性分析

    Effects of pelvic autonomic nerve preservation in excision of rectal cancer on urinary and sexual function in senile male patients

    Abstract  Objective: To evaluate the effects of pelvic autonomic nerve preservation (PANP) on the urinary and sexual function in senile male patients received excision of rectal cancer. Methods: The questionnaire on the urinary and sexual function was carried out in 88 senile male patients undergone radical resection of rectal carcinoma with PANP and 82 cases without PANP. Local recurrence of the two groups was analyzed. Results: The sexual and urinary function in PANP group were better than that in nonPANP group(P<0.05), but local recurrence of PANP group were lower than that of nonPANP group (P>0.05). Conclusion: The radical excision with PANP for rectal cancer can reduce sexual and urinary dysfunction without adverse influence on local recurrence.

    Key words  Rectal neoplasm; Pelvic autonomic nerve preservation; Urinary function; sexual function

    1  资料与方法

    1.1  一般资料：本组170例，均为男性。年龄60～75岁，平均66岁。其中PANP直肠癌根治术(规范的TME)共88例，DukesA 13例，DukesB 22例，DukesC 32例，DukesD 21例。同期非PANP直肠癌根治术（TME规范情况不详）共82例，DukesA 12例，DukesB 20例，DukesC 29例，DukesD 21例。两组发病部位及病理情况大致相同。

    1.2  手术方法：采用Dixon或Miles术，直肠系膜全切除为严格标准。①直视

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