[1]刘 峰,吴晓丽,谢建军.腹腔镜直肠癌全系膜切除术对直肠癌患者远期排尿功能的影响[J].医学信息,2020,33(04):104-105,108.[doi:10.3969/j.issn.1006-1959.2020.04.031]
　LIU Feng,WU Xiao-li,XIE Jian-jun.Effect of Laparoscopic Total Mesorectal Excision on Rectal Cancer Patients with Long-term Urination Function[J].Medical Information,2020,33(04):104-105,108.[doi:10.3969/j.issn.1006-1959.2020.04.031]
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腹腔镜直肠癌全系膜切除术对直肠癌患者远期排尿功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年04期
页码:
104-105,108
栏目:
临床研究
出版日期:
2020-02-15

文章信息/Info

Title:
Effect of Laparoscopic Total Mesorectal Excision on Rectal Cancer Patients with Long-term Urination Function
文章编号:
1006-1959（2020）04-0104-03
作者:
刘 峰; 吴晓丽; 谢建军
（河北省三河市燕郊人民医院外科，河北 三河 065201）
Author(s):
LIU Feng; WU Xiao-li; XIE Jian-jun
(Department of Surgery,Yanjiao People’s Hospital,Sanhe 065201,Hebei,China)
关键词:
直肠癌; 腹腔镜; 全系膜切除术; 远期排尿功能
Keywords:
Rectal cancer; Laparoscopy; Total mesentectomy; Long-term urination
分类号:
R657.1
DOI:
10.3969/j.issn.1006-1959.2020.04.031
文献标志码:
A
摘要:
目的 探讨腹腔镜直肠癌全系膜切除术（TME）对直肠癌患者远期排尿功能的影响。方法 回顾性分析2012年6月~2019年6月我院收治的68例直肠癌患者临床资料，根据不同术式分为腹腔镜组（35例）和开腹组（33例）。腹腔镜组接受腹腔镜TME，开腹组接受开腹TME，比较两组排尿障碍率、尿管拔出时间、最大尿流率、残余尿、排尿量。结果 腹腔镜组排尿总障碍率为34.29%，低于开腹组的60.61%，差异有统计学意义（P＜0.05）。术后2个月，腹腔镜组尿管拔出时间、最大尿流率、残余尿、排尿量改善优于开腹组，差异有统计学意义（P＜0.05）。结论 腹腔镜TME可减少直肠癌患者排尿功能障碍，改善尿管拔出时间、最大尿流率、残余尿、排尿量。
Abstract:
Objective To investigate the effect of laparoscopic total mesorectomy (TME) on rectal cancer patients with long-term urination.Methods Retrospective analysis of clinical data of 68 patients with rectal cancer treated in our hospital from June 2012 to June 2019 and according to different operation methods, they were divided into laparoscopic group (35 cases) and laparotomy group (33 cases). The laparoscopic group received laparoscopic TME, and the laparotomy group received open TME. The urinary disturbance rate, urinary extraction time, maximum urine flow rate, residual urine, and urination volume were compared between the two groups.Results The total dysuria rate was 34.29% in the laparoscopic group, which was lower than 60.61% in the laparotomy group, the difference was statistically significant(P<0.05).After 2 months, the improvement of urinary extraction time, maximum urinary flow rate, residual urine, and urinary output in the laparoscopic group was better than that in the laparotomy group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic TME can reduce dysuria, improve urinary extraction time, maximum urinary flow rate, residual urine, and urinary output in patients with rectal cancer.

参考文献/References:

[1]George D,Pramil K,Kamalesh NP,et al.Sexual and urinary dysfunction following laparoscopic total mesorectal excision in male patients:A prospective study[J].J Minim Access Surg,2018,14(2):111-117. [2]Celentano V.Nerve-sparing surgery and sexual and urinary dysfunction after multimodality treatment for rectal cancer[J].Tech Coloproctol,2017,21(4):325. [3]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. [4]张海永,杨鹏远,兰海生,等.以盆腔自主神经为解剖标识的腹腔镜低位直肠癌根治术对男性患者术后排尿、性功能影响的研究[J].结直肠肛门外科,2018,24(1):22-26. [5]Chew MH,Yeh YT,Lim E,et al.Pelvic autonomic nerve preservation in radical rectal cancer surgery:changes in the past 3 decades[J].Gastroenterol Rep(Oxf),2016,4(3):173-185. [6]Brian G,Brian E,Zhifei S,et al.Urinary Dysfunction in the Rectal Cancer Survivor[J].Curr Bladder Dysfunct Rep,2016(11):105-112. [7]林锡汉,袁炜嗣,黄敏,等.腹腔镜保留盆腔自主神经直肠癌根治术的临床研究[J].临床医学工程,2017,24(10):1345-1346. [8]Panteleimonitis S,Ahmed J,Ramachandra M,et al.Urogenital function in robotic vs laparoscopic rectal cancer surgery:a comparative study[J].Int J Colorectal Dis,2017,32(2):241-248.

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更新日期/Last Update: 2020-02-15