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直肠癌患者术后排尿和性功能障碍的发生严重影响患者的生活质量。笔者就直肠癌术后排尿和性功能产生的原因及相关因素、保留盆腔自主神经(PANP)手术的操作要点及适应证、PANP术后对排尿和性功能的影响、PANP与肿瘤根治性等复习有关文献,以评价PANP直肠癌根治术对直肠癌患者术后排尿和性功能的影响。综合要点如下:(1)直肠癌术后排尿和性功能障碍发生的原因和因素是多方面的。(2)PANP手术指征及对术后排尿和性功能的评价标准尚有不同意见。(3)PANP术后排尿和性功能的保存明显优于传统的直肠癌根治术和TME。(4)合理选择患者前提下,PANP同样达到直肠癌根治性效果。
Postoperative urination and sexual dysfunction in patients with rectal cancer seriously affect the quality of life of patients. The author on postoperative urination and sexual function of rectal cancer causes and related factors, to retain the pelvic autonomic nerve (PANP) operation points and indications, postoperative PANP on urinary and sexual function, PANP and tumor radical review The literature to evaluate the effect of PANP rectal cancer radical surgery on postoperative urination and sexual function in patients with rectal cancer. Comprehensive points are as follows: (1) Rectal cancer postoperative urination and sexual dysfunction causes and factors are many. (2) PANP indications and evaluation of postoperative urination and sexual function have different opinions. (3) The preservation of urination and sexual function after PANP was significantly better than that of traditional radical resection of rectal cancer and TME. (4) Under the premise of a reasonable choice of patients, PANP also achieve the radical effect of rectal cancer.