| 保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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| 引用本文： | 沈达明,袁祖荣,黄春锦,刘军,丁皓.保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[J].结直肠肛门外科,2007,13(6):362-363. |
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| 作者姓名： | 沈达明 袁祖荣 黄春锦 刘军 丁皓 |
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| 作者单位： | 上海华东医院外科,200040 |
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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。
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| 关 键 词： | 直肠肿瘤 性功能 排尿功能 回顾性分析 |
| 修稿时间： | 2007年6月5日 |
Effects of pelvic autonomic nerve preservation in excision of rectal cancer on urinary and sexual function in senile male patients |
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| Shen Daming,Yuan Zurong,Huang Chunjin,et al..Effects of pelvic autonomic nerve preservation in excision of rectal cancer on urinary and sexual function in senile male patients[J].Journal of Colorectal & Anal Surgery,2007,13(6):362-363. |
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| Authors: | Shen Daming Yuan Zurong Huang Chunjin |
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| Institution: | Shen Daming,Yuan Zurong,Huang Chunjin,et al.Department of Surgery,East China Hospital,Shanghi 200040,China |
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| 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. |
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| Keywords: | Rectal neoplasm Pelvic autonomic nerve preservation Urinary function sexual function |
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