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中华普通外科学文献(电子版) ›› 2016, Vol. 10 ›› Issue (04) : 256 -259. doi: 10.3877/cma.j.issn.1674-0793.2016.04.006

所属专题: 文献

论著

腹腔镜手术对男性直肠癌患者术后性功能的保护作用
谢莉萍1,(), 林金鑫2, 雷育清2, 汪普宁2, 叶俊文2, 黄俊2   
  1. 1. 510630 广州,中山大学附属第三医院预防保健科
    2. 510655 广州,中山大学附属第六医院结直肠肛门外科
  • 收稿日期:2016-03-28 出版日期:2016-08-01
  • 通信作者: 谢莉萍
  • 基金资助:
    广东省科技计划项目(2010B031600232)

Effect of laparoscopic surgery on sexual function of male patients with rectal cancer

Liping Xie1,(), Jinxin Lin2, Yuqing Lei2, Puning Wang2, Junwen Ye2, Jun Huang2   

  1. 1. Department of Prevention and Healthcare, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China
    2. Department of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China
  • Received:2016-03-28 Published:2016-08-01
  • Corresponding author: Liping Xie
  • About author:
    Corresponding author: Xie Liping, Email:
引用本文:

谢莉萍, 林金鑫, 雷育清, 汪普宁, 叶俊文, 黄俊. 腹腔镜手术对男性直肠癌患者术后性功能的保护作用[J/OL]. 中华普通外科学文献(电子版), 2016, 10(04): 256-259.

Liping Xie, Jinxin Lin, Yuqing Lei, Puning Wang, Junwen Ye, Jun Huang. Effect of laparoscopic surgery on sexual function of male patients with rectal cancer[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(04): 256-259.

目的

探讨经腹腔镜与开腹根治术对男性直肠癌患者术后性功能的影响。

方法

选取2010年4月至2013年5月收治的直肠癌手术患者116例,均为男性,其中接受腹腔镜直肠癌保留盆腔自主神经(PANP)根治术的患者69例(腹腔镜组),接受开腹PANP直肠癌根治术的患者47例(开腹组)。随访比较两组患者术后6、12个月的性功能情况。

结果

腹腔镜组患者术后6个月勃起功能障碍、射精功能张障碍者明显低于开腹组,差异具有统计学意义(χ2=6.520、6.158,P=0.010、0.013);术后12个月勃起功能障碍、射精功能张障碍者明显低于开腹组,差异具有统计学意义(χ2=6.144、3.985,P=0.013、0.045)。

结论

相较于传统开腹手术而言,保留植物神经的腹腔镜直肠癌根治术能有效降低患者术后勃起及射精功能障碍的发生率,提高患者术后的生活质量。

Objective

To compare the effect of laparoscopic and open radical surgery on sexual function of male patients with rectal cancer.

Methods

Totally one hundred and sixteen male cases with rectal cancer were collected from April 2010 to May 2013, who were divided into observation group (69 cases with laparoscopic PANP surgery) and open group (47 cases with open PANP surgery), and the sexual function of the two groups were compared after 6 and 12 months follow-up.

Results

The erectile dysfunction and ejaculatory dysfunction in the observation group after 6 months was significantly lower than those of the open group (χ2=6.520, 6.158, P=0.010, 0.013); and the erectile and ejaculatory dysfunction in the observation group after 12 months was significantly lower than those of the open group (χ2=6.144, 3.985, P=0.013, 0.045).

Conclusion

Compared with traditional open surgery, laparoscopic radical resection of rectal cancer can effectively reduce the incidence of postoperative erectile dysfunction and ejaculation dysfunction, and improve the quality of life after surgery.

表1 116例直肠癌患者术后6个月性功能情况比较[例(%)]
表2 116例直肠癌患者术后12个月性功能情况比较[例(%)]
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