微创医学

目的探讨腹腔镜直肠癌根治术对直肠癌患者术后性功能和尿动力学指标的影响。方法选取110例男性直肠癌患者，按照随机数表法分为试验组（57例）和对照组（53例）。对照组接受传统开放式直肠癌根治术，试验组接受腹腔镜直肠癌根治术。比较两组患者术后6、12个月勃起功能障碍、射精功能障碍程度以及尿动力学指标。结果术后6、12个月，试验组患者的勃起功能障碍、射精功能障碍程度均轻于对照组（均P＜0.05）。术后6、12个月，试验组最大尿流率、最大膀胱容量，以及最大排尿压均高于对照组，残尿量低于对照组（均P＜0.05）。结论与传统开放式直肠癌根治术相比，腹腔镜直肠癌根治术可明显降低患者术后性功能障碍程度，对患者排尿功能的影响较轻，值得在临床上推广使用。

ObjectiveTo explore the effect of laparoscopic radical resection on sexual function and urodynamics in patients with rectal carcinoma. MethodsA total of 110 male rectal cancer patients were selected and divided into experiment group (57 cases) or control group (53 cases) according to the random number table method. The control group received traditional open radical resection of rectal carcinoma, and the experiment group received laparoscopic radical resection of rectal carcinoma. The degrees of erectile dysfunction and ejaculatory dysfunction, as well as urodynamic indexes 6 months and 12 months after operation were compared between the two groups. ResultsIn comparison with the control group, 6 months and 12 months after operation, the experiment group obtained slighter degrees of erectile and ejaculatory dysfunction, yielded higher maximum urine flow rate, maximum bladder volume and maximum voiding pressure, whereas had a lower residual urine volume (all P＜0.05). ConclusionCompared to the traditional open radical resection of rectal carcinoma, laparoscopic radical resection of rectal carcinoma can significantly decrease the degree of postoperative sexual dysfunction, and has less impact on the urinary function of patients, which is worth of clinical promotion and application.