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本文作者观察了保留自主神经的骨盆侧壁解剖(ANP—PSWD)在直肠癌局部控制和治疗效果,以及维持性功能中的作用。其手术要点是保留骨盆后方间隔内的躯干神经,谨慎牺牲下腹下神经丛。病人和方法:为男性患者42例,癌均位于肛门缘11 cm以内,行治愈性ANP—PSWD并保留括约肌方法。年龄23～75岁,中位值年龄为58岁。30例行结直肠吻合,12例行结肠肛门吻合。15例(39.0%)术前和术后给辅助放疗以及化疗。
The authors observed the role of pelvic sidewall anatomy (ANP-PSWD) with autonomic nerves in local control and treatment of rectal cancer, as well as maintenance of sexual function. The main point of operation is to preserve the trunk nerves in the posterior pelvis and carefully sacrifice the lower abdominal plexus. Patients and Methods: Forty-two male patients with cancer within 11 cm of the anal verge were treated with curative ANP-PSWD and retained sphincter. Ages 23 to 75 years, median age is 58 years old. Thirty patients underwent colorectal anastomosis and 12 underwent colonic anal anastomosis. Fifteen patients (39.0%) received adjuvant radiotherapy and chemotherapy before and after surgery.