保留盆腔植物神经的直肠癌根治术23例临床分析

目的 评价保留盆腔植物神经的直肠癌根治术对男性患者的作用。方法 对23例Dukes A、B、C期直肠癌患者行保留盆腔植物神经的直肠癌根治术（其中2例为保留单侧植物神经）。结果 保留双侧植物神经的21例排尿困难总发生率为30．4％（7／23），性功能障碍总发生率26．1％（6／23），与传统术式的60．8％和63．9％差异有显著意义（χ^2=10．3604，P=0．001〈0．01）。结论 保留盆腔植物神经的直肠癌根治术能够有效地减少男性患者术后性功能和泌尿功能障碍。

The rectum cancer that reserves a pelvic autonomic nerve preservation 23 clinic analysis

Objective To the function that the rectum cancer of a pelvic autonomic nerve preservation to the male sufferer. Methods 23 cases of the rectum cancer patients in Dukes A,B,C underwent the operation of reserving a pelvic autonomic nerve perservation(2 among them for reserve the single side plant nerve). Results 7 cases happened d vsuresia in 21 cases of perserving double autoonomic nerve, whose occurrence rate was 30. 4 % (7 /23), and 6 cases happened sexual disturbance (26.1% ,6/23). It had signicant difference compared with the traditional operation(X2 = 10.3604,P = 0.001<0.01).Conclusion The rectum cancer of a pelvic autonomic nerve preservation can reduce the occurrence of male sexual function and urination disorders.