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目的探讨保留盆腔自主神经全直肠系膜切除术(TME)及术后对患者泌尿生殖功能及根治效果的影响。方法采用病例对照的方法,回顾性分析了36例在直肠癌根治术中保留盆腔自主神经保留(PANP)组和非保留盆腔自主神经保留(非PANP)组病人31例术后性功能障碍的发生率以及局部复发率。结果研究组36例患者术后性功能和排尿功能指标优于对照组31例患者(P<0.05),两组术后局部癌肿复发率分别为8.3%和6.5%,差异无显著性(P>0.05)。结论保留盆腔自主神经全直肠系膜切除术在肿瘤根治和保持术后功能方面是适宜的术式。
Objective To investigate the effect of preserving pelvic autonomic mesial mesorectal excision (TME) and postoperative urethral reproductive function and curative effect. Methods A case-control study was conducted to retrospectively analyze the incidence of postoperative sexual dysfunction in 36 patients with preservation of pelvic autonomic nerve preservation (PANP) group and unreserved pelvic autonomic nerve preservation (non-PANP) group in radical resection of rectal cancer Rate and local recurrence rate. Results The postoperative functional and urinary function indexes of 36 patients in the study group were better than those in the control group (P <0.05). The recurrence rates of local cancer in the two groups were 8.3% and 6.5% respectively, with no significant difference (P > 0.05). Conclusions Retention of pelvic autonomic mesio-mesorectal excision is an appropriate surgical procedure for radical mastectomy and maintenance of postoperative function.