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直肠癌根治术后性功能和排尿功能障碍是较常见的并发症,其主要原因是膀胱自主神经的损伤。本文回顾研究了直肠癌根治术——全直肠系膜切除保留自主神经(TME-ANP)术对性功能和排尿功能的影响。 1991年1月至1993年10月施行TME-ANP术230例,符合下述条件的136例,平均年龄57岁,低前切除术(LAR)32例(男22例、女10例),腹会阴切除术(APR)104例(男160例、女44例)。保留双侧骶内脏神经(副交感)占96％,男性94％、女性80％保留双侧髂内神经。1994年4月以问卷调查的
Rectal cancer after radical mastectomy and micturition dysfunction is a common complication, the main reason is the bladder autonomic nerve injury. This article reviews the impact of rectal cancer radical surgery, total mesorectal excision and autonomic nerve preservation (TME-ANP) on sexual function and micturition. From January 1991 to October 1993, 230 cases of TME-ANP were performed, 136 cases met the following conditions, and the average age was 57 years. There were 32 cases of low preoperative resection (LAR) (22 males and 10 females). 104 cases of perineal resection (APR) (160 males and 44 females). Retention of bilateral splanchnic visceral nerves (parasympathetic) accounted for 96%, 94% of men and 80% of women retained bilateral internal sacral nerves. In April 1994, a questionnaire survey