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收集本院1980～1989年收治的中、低位直肠癌患者的术后性功能资料。其中男85例,平均年龄为42.5岁。女71例,平均年龄38.2岁。术后男有性要求者59例(69.41％),有性生活者63例(74.11％),心理恐惧者62例(72.94％)。女有性要求者48例(67.60％),有性生活者54例(76.05％),心理恐惧者40例(56.33％),丈夫满意者30例(42.25％)。中、低位直肠癌患者术后性功能障碍主要与腹下神经损伤有关,其次与恐惧心理,女性与局部疤痕造成的阴道狭窄是分不开的。术时应按病变情况选用根治范围及不同的术式。外科医生除了明确神经的解剖外,必需了解神经的功能以及神经在盆腔中的行走方向。有意识的重视保护神经,使患者术后尽可能保持正常的性功能,通过正确的性知识指导、消除患者的恐惧心理,对恢复患者术后的身心健康具有重要意义。
We collected postoperative sexual function data from patients with rectal cancer who were admitted to our hospital from 1980 to 1989. Of these, 85 were male and the average age was 42.5 years. There were 71 females with an average age of 38.2 years. Fifty-nine patients (69.41%) had postoperative sexual requirements, 63 (74.11%) had sex, and 62 (72.94%) had psychological fear. There were 48 sexually demanding women (67.60%), 54 sexually active persons (76.05%), 40 mentally-phobiad (56.33%), and 30 (42.25%) satisfied. Postoperative sexual dysfunction in patients with rectal cancer is mainly associated with sub-abdominal nerve injury, followed by fear, and vaginal stenosis caused by women and local scars. The scope of surgery and different surgical procedures should be selected according to the lesions. In addition to the definitive nerve anatomy, the surgeon must understand the function of the nerve and the direction of the nerve walking in the pelvic cavity. The conscious attention to neuroprotection enables the patient to maintain normal sexual function as much as possible after surgery. It is important to restore the patient’s physical and mental health through correct sexual knowledge guidance and elimination of the patient’s fear.