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| 腹腔镜直肠癌根治术中保护盆腔植物神经的体会 | |
| 引用本文： | 吕钦国,李英俊. 腹腔镜直肠癌根治术中保护盆腔植物神经的体会[J]. 腹腔镜外科杂志, 2009, 14(2) |
| 作者姓名： | 吕钦国 李英俊 |
| 作者单位： | 新泰市人民医院,山东,新泰,271200 |
| 摘 要： | 目的:探讨腹腔镜直肠癌根治术中显露及保护盆腔植物神经对患者术后性功能和排尿功能的影响。方法:回顾分析2005年5月至2008年3月我院为11例男性直肠癌患者施行腹腔镜全直肠系膜切除术(total mesorectal excision,TME)的基础上保留盆腔植物神经(pelvic autonomic nervepreservation,PANP),降低术后排尿及性功能障碍发生率的临床资料。结果:患者术后勃起功能障碍发生率9.09%,射精功能障碍发生率18.18%,近期排尿障碍发生率9.09%。结论:腹腔镜TME基础上行PANP与传统开腹TME基础上行PANP相比,术中能更清晰地显露盆腔植物神经并予以保护,减少了术后排尿和性功能障碍的发生。 |
| 关 键 词： | 直肠肿瘤 结直肠外科手术 盆腔植物神经 排尿障碍 性功能障碍 腹腔镜术 |
Protection of pelvic autonomic nerve in the laparoscopic radical resection of rectal neoplasms |
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| LV Qin-guo,LI Ying-jun. Protection of pelvic autonomic nerve in the laparoscopic radical resection of rectal neoplasms[J]. Journal of Laparoscopic Surgery, 2009, 14(2) | |
| Authors: | LV Qin-guo LI Ying-jun |
| Affiliation: | LV Qin-guo,LI Ying-jun.The People's Hospital of Xintai,Xintai 271200,China |
| Abstract: | Objective:To discuss the effects of exposure and protection pelvic autonomic nerve for post-operative of urination and sex function.Methods:Eleven male patients with rectal carcinoma underwent laparoscopic total mesorectal excision(TME)and pelvic autonomic nerve preservation(PANP)from May 2005 to March 2008.The clinical data of decrease in post-operative urination disorders and sex disorders rate were analyzed retrospectively.Results:The rate of post-operative erectile dysfunction was 9.09%,ejaculatory dysf... |
| Keywords: | Rectal neoplasms Colorectal surgery Pelvic autonomic nerve Urination disorders Sex disorders Laparoscopy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |