论文部分内容阅读
目的探讨保留盆腔自主神经(PANP)的全直肠系膜切除术(TME)在预防直肠癌术后局部复发中的作用,以及该术式对患者术后排尿和性功能的影响。方法回顾性分析96例直肠癌的临床资料。结果全组无手术死亡,术后随访0.5～5.0年,局部复发7例(7.3%),治疗组患者术后排尿功能障碍和性功能障碍发生率显著低于传统术式组。结论保留盆腔自主神经的全直肠系膜切除术后局部复发率低,能较好保留直肠癌患者术后的排尿和性功能。
Objective To investigate the effect of total mesorectal excision (TME) preserving pelvic autonomic nerve (PANP) in the prevention of local recurrence after rectal cancer and the effect of this procedure on postoperative urination and sexual function. Methods Retrospective analysis of 96 cases of rectal cancer clinical data. Results There was no operative death in all the cases. The follow-up ranged from 0.5 to 5.0 years and local recurrence was found in 7 cases (7.3%). The incidence of urinary dysfunction and sexual dysfunction in the treatment group was significantly lower than that in the conventional operation group. Conclusions The rate of local recurrence after total mesorectal excision with pelvic autonomic nerve preservation is low, which can well preserve the postoperative urination and sexual function of rectal cancer patients.