Dong Xin-shu, Xu Hai-tao, Li Zhi-gao, Yu Zhi-wei, Cui Bin-bin
Department of Abdominal Surgery, The Tumor Hospital, Harbin Medical University, Harbin 150040, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2006 Mar;9(2):121-3.
To investigate the clinical value of extended radical resection with nerve- preservation for rectal cancer.
Ninety-eight patients with rectal cancer received extended radical resection with nerve- preservation in our hospital. The questionnaire were used to collect the data of the patients urination and sexual function. The survival was analyzed retrospectively.
62.3% (61/98) of the patients could erect normally and 57.1% (56/98) of the patients had normal sexual function. The average time of catheterization in 57 patients was 60 hours, the residual urine volume (RUV) was 28 ml and the max-micturition-desire urine volume was 400 ml. The 5-year survival rate of those who underwent extended radical resection with nerve-preservation was 61.2%.
Extended radical resection with nerve-preservation,which could decrease the incidences of post-operative urination and sexual dysfunction, and have not affect the survival, was the most optimal operation for rectal cancer.
探讨保留神经的直肠癌扩大根治术的临床价值。
98例直肠癌患者在我院接受了保留神经的扩大根治术。采用问卷调查收集患者排尿和性功能数据。对生存情况进行回顾性分析。
62.3%（61/98）的患者能正常勃起，57.1%（56/98）的患者性功能正常。57例患者的平均导尿时间为60小时，残余尿量（RUV）为28毫升，最大排尿意愿尿量为400毫升。接受保留神经扩大根治术患者的5年生存率为61.2%。
保留神经的扩大根治术可降低术后排尿和性功能障碍的发生率，且不影响生存率，是直肠癌最优化的手术方式。
