全直肠系膜切除术联合自主神经保留术治疗直肠癌的临床研究

田锋，项林海

（商洛市商南县医院，陕西 商洛，726300）

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摘要：

目的 探究直肠癌患者应用全直肠系膜切除术联合自主神经保留术的疗效。方法 选取我院2014 年4 月至2016 年 4 月收治的直肠癌患者78 例为研究对象，采用随机盲选法将其分为对照组38 例（采用全直肠系膜切除术）和观察组40 例（采用全直肠系膜切除术联合自主神经保留术）。比较两组患者术后排尿功能，性功能障碍及并发症发生情况。结果 观察组 术后排尿功能优于对照组；I～II 级所占比例明显高于对照组，差异具有统计学意义（P<0.05）。术后性功能障碍总发生率低于 对照组，差异具有统计学意义（P<0.05），两组并发症总发率比较，差异不具有统计学意义（P>0.05）。结论 直肠癌患者采用全 直肠系膜切除术联合自主神经保留术治疗，可提高术后排尿功能及性功能，安全性较高。

关键词：直肠癌；全直肠系膜切除术；自主神经保留术

中图分类号：R735.37文献标志码：A文章编号：2096-1413(2018)02-0062-02

Clinical study of total mesorectal excision combined with autonomic nerve sparing surgery in the treatment of rectal cancer
TIAN Feng, XIANG Lin-hai
(the Hospital of Shangnan County, Shangluo 726300, China)

ABSTRACT: Objective To investigate the effect of total mesorectal excision combined with autonomic nerve sparing surgery in the treatment of rectal cancer. Methods A total of 78 patients with rectal cancer who treated in our hospital from April 2014 to April 2016 were selected as the study objects, and were divided into control group (n=38, treated with total mesorectal excision) and observation group (n=40, treated with total mesorectal excision combined with autonomic nerve sparing surgery) according to random blind selection method. The urinary function, the state of sexual dysfunction and complications in both groups were compared. Results The postoperative urination function of the observation group was better than that of the control group; and the proportion of I~II grades was significantly higher than that of the control group, the differences were statistically significant (P<0.05). After surgery, the total incidences of sexual dysfunction in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05), the total ineidence of complication in the two groups was not statistically significant (P>0.05). Conclusion Patients with rectal cancer using total mesorectal excision combined with autonomic nerve sparing surgery can improve postoperative urination function and sexual function, with high safety.
KEYWORDS: rectal cancer; total mesorectal excision; autonomic nerve sparing surgery

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