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目的 :探讨功能性扩大根治术的临床效果及对术后早期膀胱和性功能的影响。方法 :对 189例直肠癌患者行广泛清除直肠上方 ,侧方及下方淋巴结并保留术野分布的植物神经。并与同期 2 94例直肠癌Miles术者比较生存率及膀胱和性机能。结果 :本组无死亡率 ,5、10年生存率分别为 61 9%、4 2 86%。术后膀胱机能障碍、勃起障碍、射精障碍分别为 18 2 %、15 34 %、18 52 %。结论 :该术式明显提高生存率 ,减少膀胱及性机能障碍的发生率 ,应是直肠癌根治术中的主要术式。
Objective : To explore the clinical effect of extended radical mastectomy and its effect on early postoperative bladder and sexual function. METHODS: A total of 189 patients with rectal cancer underwent extensive removal of the rectal top, lateral and inferior lymph nodes, and retained the operative field distribution of autonomic nerves. The survival rate and bladder and sexual function were compared with 294 patients with rectal cancer Miles. Results: There was no mortality in this group. The 5-year and 10-year survival rates were 61 9% and 4 286%, respectively. Postoperative bladder dysfunction, erectile dysfunction, and ejaculatory dysfunction were 18 2%, 15 34%, and 18 52%, respectively. Conclusion: This operation can significantly improve the survival rate and reduce the incidence of bladder and sexual dysfunction. It should be the main operation method for radical resection of rectal cancer.