传统的下腹部手术和腹-会阴联合手术常常与肿瘤复发以及性功能障碍有关,保留自主神经的全直肠系膜切除术可以在保留勃起功能的同时,将局部复发从35%以上下降到10%以下,但是对于晚期直肠癌患者而言,保留自主神经的全直肠系膜切除术不不足以取得有效的肿瘤切除.作者为了探讨局部晚期直肠癌男性患者放疗后再手术与直接手术对阴茎勃起功能的影响,对2006年1月至2007年12月,共计112名初始IIEF-5评分正常 Traditional lower abdominal surgery and abdominal-perineal surgery are often associated with tumor recurrence and sexual dysfunction. Retained total mesorectal excision with autonomic nerve can reduce local recurrence from 35% to below 10% while preserving erectile function , But for patients with advanced rectal cancer, autonomic nerve preservation of the total mesorectal excision is not sufficient to obtain effective tumor resection. In order to investigate the male patients with locally advanced rectal cancer after reoperation and direct surgery on penile erectile function From January 2006 to December 2007, a total of 112 initial IIEF-5 scores were normal