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目的探讨腹腔镜和开腹直肠癌根治术对男性性功能的影响。方法将2001年5月至2008年11月间行完全腹腔镜下直肠癌根治术的17例65岁以下的男性病人作为研究对象,另选择同期施行开腹手术的21例男性直肠癌病人作为对照组。对两组病例术后性功能情况进行回顾分析。结果两组之间术前及术后6个月、12个月IIEF-5评分无明显差异,无论腹腔镜组还是开腹组术后IIEF-5评分均较术前有下降,差异有统计学意义(P<0.05)。两组与手术有关的射精功能障碍发生率,术后6月时为37.50%和42.11%(P>0.05),术后12月时为37.50%和36.84%(P>0.05),两组比较差异均无统计学意义。结论腹腔镜直肠癌根治术后性功能障碍的发生率与开腹手术相比没有差异。
Objective To investigate the effect of laparoscopic and open radical resection of rectal cancer on male sexual function. Methods A total of 17 male patients under 65 years of age undergoing total laparoscopic radical resection of rectal cancer underwent laparoscopic resection from May 2001 to November 2008. Another 21 male patients with rectal cancer undergoing laparotomy during the same period were enrolled as control group. Two cases of postoperative sexual function were analyzed retrospectively. Results There was no significant difference in the IIEF-5 scores between the two groups before and 6 months and 12 months postoperatively, and both the laparoscopic and open laparoscopic IIEF-5 scores were lower than those before the operation Significance (P <0.05). The incidences of surgery-related ejaculation dysfunction in both groups were 37.50% and 42.11% at 6 months (P> 0.05), 37.50% and 36.84% at 12 months after operation (P> 0.05) No statistical significance. Conclusions There is no difference in the incidence of sexual dysfunction after laparoscopic radical resection of rectal cancer compared with laparotomy.