直肠癌根治术保留盆腔自主神经对排尿功能的影响

目的分析在直肠癌根治术中保留盆腔自主神经(PANP)对术后排尿功能的影响。方法回顾性地分析了162例分别进行传统根治术(传统组)和PANP根治术(PANP组)的直肠癌患者术后排尿功能障碍的情况。结果术后3天,传统组98例均未拔除尿管,而PANP组64例中37例(58%)拔除尿管,且均能自主排尿,14例(22%)有轻度排尿困难。术后7天,两组患者均拔除尿管,PANP组11例(17%)出现排尿困难,而传统组中62例(63%)出现排尿困难。19例出现尿潴留。术后15天,PANP组基本恢复正常排尿,而传统组仍有47例(48%)有排尿功能障碍。结论PANP可以明显减少直肠癌根治术后患者排尿困难的发生率。

Influence of Pelvic Autonomic Nerve Preservation on Urinary Function after Rectal Carcinoma Radical Operation

Objective To analyse the influence of pelvic autonomic nerve preservation(PANP) on urinary !fanction after rectal carcinoma radical operation.Methods To retrospectively analyse urinary disfunction rate in the two groups of 162 rectal carcinoma patients who underwent traditional or PANP radical operation,respectively.Results 3 days after operation,in traditional group 98 cases were not removed cartheter,while in PANP group 64 cases,37 cases(58%) were removed cartheter,and they all can urinate independently,14 cases(22%) have slight urination dysfunction.7 days after operation,both group were removed cartheter,11 cases(17%) in PANP group showed urination disfunction,while 62 cases(63%) in traditional group showed urination disfunction,19 cases showed urine retention.15 days after operation,PANP group all recovered,while in traditional group 47 cases(48%) still have urination disfunction.Conclusion PANP can reduce the urinary disfunction rate after radicale rectal carcinoma operation.