|
|
|
| Influence of laparoscopic radical resection of rectal carcinoma with pelvic autonomic nerve preservation on patients′ urodynamic indexes |
| XIA Lv-chi |
| Department of Emergency, Jiujiang First People′s Hospital, Jiangxi Province, Jiujiang 332000, China |
|
|
|
|
Abstract Objective To explore the influence of laparoscopic radical resection of rectal carcinoma with pelvic autonomic nerve preservation on patients′ urodynamic indexes. Methods Totally 80 patients with rectal carcinoma admitted to our hospital from February 2017 to May 2019 were selected as research subjects. They were divided into group A(n=40) and group B (n=40) by a random number table method. Group A adopted laparoscopic radical resection of rectal carcinoma with pelvic autonomic nerve preservation, and group B used laparoscopic radical resection of rectal carcinoma. The incidence of postoperative complications and the urodynamics indexes, ejaculation function and erectile function after operation for six months were compared between the two groups. Results There was no significant difference in the total incidence of postoperative complications between the two groups (P＞0.05). The maximum urinary flow rate(Qmax), urine output, and maximum bladder detrusor systolic pressure (Pdet Qmax) in group A were (17.60±2.19) ml/s,(296.31±34.68) ml, and (25.62±3.24) ml, respectively, which were higher than those in group B ([13.01±1.89]ml/s,[230.49±30.18]ml, [20.12±2.37]ml), respectively, and the differences were statistically significant (P＜0.05). The residual urine volume (PVR) in group A was (33.48±5.21) ml, which was lower than that of group B ([60.14±7.59]ml), and the difference was statistically significant (P＜0.05). Postoperative ejaculation function and erectile function in group A were better than those of the group B, with statistical significances (P＜0.05). Conclusion Applying laparoscopic radical resection of rectal carcinoma with pelvic autonomic nerve preservation to treat patients with rectal carcinoma can effectively improve patient′s urinary function, ejaculation function and erectile function without increasing the incidence of complications. It has high safety and is worthy of clinical promotion.
|
|
|
|
|
|
| [1] |
史传文，宋栋达，陈波，等.腹腔镜中低位直肠癌根治术保留盆自主神经的疗效分析[J].现代肿瘤医学，2016，24（8）：1252-1255.
|
| [2] |
孙海翔.保留盆腔自主神经对男性直肠癌术后排尿功能的影响[J].安徽医药，2018，22（8）：1523-1525.
|
| [3] |
王泰岳，张逖，陈剑，等.腹腔镜盆腔自主神经保护的直肠癌根治术治疗中低位直肠癌患者对男性性功能的影响[J].山西医药杂志，2018，47（19）：2311-2313.
|
| [4] |
费正磊，杨沔，彭涛，等.腹腔镜与开腹保留盆腔自主神经直肠癌根治术对男性排尿功能的影响[J].浙江医学，2017，39（22）：2005-2007，2015.
|
| [5] |
唐毓林，张涌泉，许景洪，等.低位直肠癌全直肠系膜切除手术中保留盆腔自主神经侧方淋巴结清扫的临床价值[J].肿瘤学杂志，2016，22（5）：369-373.
|
| [6] |
李统虎，侍作亮，朱加猛，等.腹腔镜直肠癌根治术保留盆腔自主神经的临床效果[J].江苏医药，2017，43（22）：1627-1629.
|
| [7] |
陈俊，李德宁，黄向辉，等.腹腔镜与开腹直肠癌根治术对自主神经功能及免疫系统影响的临床研究[J].河北医药，2017，39（3）：371-374.
|
| [8] |
熊超.保留盆腔自主神经在男性腹腔镜直肠癌根治术中的临床效果[J].腹腔镜外科杂志，2017，22（10）：747-752.
|
| [9] |
田波，杨小冬，顿文亮.腹腔镜直肠癌根治术中保留盆腔自主神经的临床意义[J].江苏医药，2016，42（21）：2383-2384.
|
| [10] |
李超，姚立彬，孟松，等.腹腔镜下保留盆腔自主神经直肠癌根治术对冲洗液及血清中黏附分子、 术后脏器功能的影响[J].海南医学院学报，2016，22（22）：2755-2758.
|
| [11] |
刘海滨，王岩，张国超.腹腔镜全直肠系膜切除术中保留盆腔自主神经对术后男性患者性功能的影响[J].腹腔镜外科杂志，2016，21（12）：903-906.
|
| [12] |
高晓嵘，李娜，薛艺东，等.保留自主神经对腹腔镜下直肠癌根治术男性患者的影响分析[J].中国现代普通外科进展，2015，18（12）：971-972，977.
|
| [13] |
邬祖立，叶文.腹腔镜与开腹保留盆腔自主神经全直肠系膜切除术对老年男性直肠癌患者排尿功能和性功能障碍的影响研究[J].中国性科学，2015，24（4）：55-59.
|
| [14] |
丁平军，罗曦.低位直肠癌全直肠系膜切除手术中保留盆腔自主神经的临床价值[J].实用癌症杂志，2017，32（8）：1334-1337.
|
| [15] |
周声宁，韩方海.腹腔镜下直肠癌根治术保留自主神经的解剖和技术要点[J].中华结直肠疾病电子杂志，2019，8（10）：6-11.
|
|
|
|
