网络编辑平台

编辑出版

《中国临床医学》编辑部

  地址:上海市枫林路179号18号楼501室

  邮编:200032

  电话:021-60267570

  邮箱:(1)zglcyx@126.com; (2)zglcyxfb@126.com

作者园地

在线调查

您喜欢的投稿方式调查


相关下载

您所在位置:首页->过刊浏览->第19卷第3期


论著:经腹腔镜与开腹行男性中低位直肠癌根治术对性功能影响的比较
Comparison of Sexual Dysfunction after Laparoscopic and Open Radical Resection in Patients with Mid Low Rectal Cancer
陆青松 张学利 章勇 杨治 顾建萍 单远洲 陈建钢
点击:1126次 下载:0次
作者单位:上海市奉贤区中心医院普外科
中文关键字:直肠癌;腹腔镜;肿瘤;性功能障碍
英文关键字:Rectal cancer; Laparoscope; Tumor; Sexual dysfunction
中文摘要:目的:探讨经腹腔镜与开腹行男性中低位直肠癌根治术对患者性功能的影响。方法:103例年龄<65岁的男性中低位直肠癌患者,其中62例经腹腔镜行根治术(L组);41例行常规开腹根治术(O组)。术后6个月及12个月根据勃起功能障碍国际指数问卷调查表(international index erectile function, IIEF 5)和射精功能的恢复情况评价2组患者的勃起功能。结果:2组患者术后6个月的IIEF 5评分均较术前有所降低,但L组的下降幅度无统计学意义(P>0.05),O组的下降幅度有统计学意义(P<0.05);术后6个月L组的IIEF 5评分较O组高,且差异有统计学意义(P<0.05);术后12个月L组的IIEF 5评分仍高于O组,但差异无统计学意义(P>0.05)。术后6个月L组与O组的分别为27.4%(17/62)和41.2% (17/41);术后12个月L组与O组射精功能障碍发生率分别为25.8%(16/62)和36.6% (15/41);2组在术后6个月及术后12个月的射精功能障碍发生率的差异均有统计学意义(P<0.05)。结论:男性中低位直肠癌经腹腔镜行根治术对性功能的影响小于开腹根治术。
英文摘要:Objective: To compare the sexual dysfunction after laparoscopic and open radical resection in patients with mid low rectal cancer. Methods:A total of 103 male patients (age<65years) with mid low rectal cancer were randomly divided into 2 groups: laparoscopic radical resection group (Group L, n=62) and traditional open surgery group (Group O, n=41). Sexual dysfunction and ejaculation dysfunction were analyzed retrospectively at different time point after operation by questionnaire of international index erectile function (IIEF 5). Results: The IIEF 5 scores before operation were (9.71±0.23) in Group L and (9.59±0.28) in Group O. At 6 months after operation the IIEF 5 scores were (9.17±0.36) in Group L and (5.67±0.59) in Group O. At 12 months after operation they were (9.33±0.61) and (8.84±0.47), respectively. IIEF 5 scores in both groups were lower after operation than before operation, and the difference was significant in Group O (P<0.05), but not significant in Group L(P>0.05). At 6 months after operation, the incidence of ejaculatio dysfunction was 27.4% in Group L and 41.2% in Group O, while at 12 months after operation they were 25.8% and 36.6%, respectively. Conclusions: Laparoscopic radical resection for male patients with mid low rectal cancer is better for sexual function recovery than traditional open surgery.
读者评论

      读者ID: 密码:   
我要评论:
主办单位:复旦大学附属中山医院
联系地址:上海市枫林路179号18号楼501室 邮编:200032
联系电话:021-60267570 E-Mail:(1)zglcyx@126.com; (2)zglcyxfb@126.com
版权所有©2009-2010 《中国临床医学》杂志编辑部 沪ICP备1103249号
本系统由北京菲斯特诺科技有限公司设计开发
您是本站第1269992名访问者