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的临床研究

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。

Effect of different anesthesia methods in laparoscopic pelvic autonomic nerve reserved surgery on the sexual function of patients with colorectal cancer

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.