【摘要】 目的　研究男性直肠癌患者术后性功能障碍发生率、年龄、术式及肿瘤侵犯程度对术后性功能的影响。方法　通过调查表的方式调查了 72例 70岁以下男性直肠癌术后患者的性功能情况 (阴茎勃起及射精 )并进行回顾性分析。结果　术后性功能障碍总发生率为 6 3 9%。手术时年龄5 9岁以下组和 6 0岁以上组发生率分别为 6 2 2 % ,6 6 7%。两组差异无显著性 (χ2 =0 0 32 ,P =0 85 9)。前切除术及Miles术后发生率分别为 6 0 7% ,6 5 9% (χ2 =0 0 44 ,P =0 833)。DukesA ,B ,C期患者术后性功能障碍发生率分别为 5 0 % ,6 3 %及 6 8 8% (B期vsC期 ,χ2 =0 0 38,P =0 845 ) ,差异无显著性。结论　男性患者直肠癌术后性功能障碍发生率高。手术时患者年龄 ,术式及肿瘤侵犯程度对术后性功能障碍没有直接影响更多还原

【Abstract】 Objective To investigate the occurrence of sexual dysfunction following rectal carcinoma resection in male patients.Methods Seventy two male patients of rectal cancer under 70 years were included,and postoperative sexual function (erection and ejaculation) was investigeted through questionaires following resection of the rectal carcinoma and result was analyzed retrospectively.[WT5”HZ]Results[WT5”BZ] The overall morbidity of sexual dysfunction was 63 9%. The group under 59 years of age and that above 60 were 62 2% and 66 7% respectively. There was no significant difference( P =0 859)between the two groups. Those following anterior resection and Miles operation were 60 7% and 65 9% respectively ( P =0 833). The incidences of sexual dysfunction in patients with Dukes′A, B, C grade were 50%, 63% and 68 8% respectively (B grade vs C grade, P =0 845).[WT5”HZ]Conclusions[WT5”BZ] There is a high morbidity of sexual dysfunction in male patients following resection of rectal carcer and the age,operative patterns and Dukes grades have no significant effect on this complication.更多还原