The relationship between the short-term rehabilitation index and the medium-term function of the pelvic nerve in male rectal cancer after laparoscopy
10.3969/j.issn.1006-5725.2018.10.026
- VernacularTitle:保护盆腔神经的男性直肠癌腹腔镜术后近期康复指标及其与中期性功能的关系
- Author:
Li ZHANG
1
;
Xuemin LIANG
;
Xiaohua FAN
;
Hao WANG
;
Zhanbin LUO
Author Information
1. 广东省中医院肛肠科 广州 510120
- Keywords:
laparoscopic;
pelvic nerve;
rectal cancer;
postoperative rehabilitation
- From:
The Journal of Practical Medicine
2018;34(10):1683-1686,1690
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study of short-term rehabilitation index and its relationship with medium-term function in male rectal cancer after laparoscopic surgery. Methods A retrospective analysis was made of 60 cases with rectal cancer who received laparoscopic radical resection in our hospital. In the observation group,the pelvic autonomic nerves were retained in 30 cases,and 30 cases in the control group were not retained. The levels of se-rum prealbumin(PA),C reactive protein(CRP),white blood cell count(WBC)and blood cortisol(Cor)were compared between the 2 groups. The independent influence factors of erectile and ejaculatory disorder were fol-lowed up at 6 months after operation. Results Postoperative exhaust time,defecation time,postoperative extuba-tion time,ambulation time,postoperative hospitalization time in the observation group were significantly shorter than those in the control group(P < 0.05). The level of serum CRP,WBC and Cor in the observation group was significantly lower than those of the control group at 3 d after operation,and the level of PA was significantly high-er than that of the control group(P < 0.05).The independent influence factors of erectile dysfunction were the level of PA and CRP at 3d after operation(P < 0.05).The independent influence factors of ejaculatory dysfunction were PA level at 3D after operation(P < 0.05). Conclusion Pelvic nerve protection in laparoscopic surgery is helpful to promote the postoperative recovery. High PA at short term after operation may be one of the medium-term protec-tion mechanisms for sexual function.
