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自1997年5月至1999年9月,我院对14例直肠癌患者实施的根治术中注意保留盆腔植物神经并消除男性患者术后膀胱后的盆腔间隙,在改善患者术后排尿功能和男性患者性功能方面取得了较为满意的效果。现报告如下: 1 资料与方法 1.1 一般资料 本组14例患者中,男10例,女4例,平均年龄47岁(36岁～63岁)。其中行Miles手术者8例,行Dixon手术者6例,术前均行纤维结肠镜、盆腔CT及腹部B超检查。按Dukes分期:A期8例,B期5例,C期1例。10例男性患者均为术前选择的具有正常勃起和射精功能的患者,手术均行扩大根治术。术后病理:肉眼呈溃疡型者11例,隆起型3例,镜下呈中分化腺癌11例,粘液腺癌2例,未分化癌1例。
From May 1997 to September 1999, 14 cases of rectal cancer patients in our hospital to implement radical mastectomy to maintain pelvic autonomic and eliminate postoperative bladder pelvic space after male patients, to improve postoperative urination and male patients Patients have achieved more satisfactory sexual function. Now report as follows: 1 Materials and Methods 1.1 General Information The group of 14 patients, 10 males and 4 females, mean age 47 years (36 years old to 63 years old). Among them, Miles surgery was performed in 8 patients and Dixon surgery in 6 patients. All patients underwent preoperative colonoscopy, pelvic CT and abdominal B-ultrasound. According Dukes staging: A in 8 cases, B in 5 cases, C in 1 case. Ten patients with male patients were selected patients with normal erectile function and ejaculation, surgery were underwent radical gastrectomy. Postoperative pathology: ulcer in the naked eye in 11 cases, elevated type in 3 cases, moderately differentiated adenocarcinoma in 11 cases, mucinous adenocarcinoma in 2 cases, undifferentiated carcinoma in 1 case.