[1]周雪玲,方佳峰,蔡蕾,等.神经电刺激在腹腔镜直肠癌根治术患者排尿及性功能保护中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(05):344-348.[doi:10.3877/cma.j.issn.1674-3253.2017.05.013 ]
 Zhou Xueling,Fang Jiafeng,Cai Lei,et al.Intra-operative electrical nerve stimulation on preservation of pelvic autonomic nerve during radical laparoscopic proctectomy[J].,2017,11(05):344-348.[doi:10.3877/cma.j.issn.1674-3253.2017.05.013 ]
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神经电刺激在腹腔镜直肠癌根治术患者排尿及性功能保护中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年05期
页码:
344-348
栏目:
临床研究
出版日期:
2017-10-08

文章信息/Info

Title:
Intra-operative electrical nerve stimulation on preservation of pelvic autonomic nerve during radical laparoscopic proctectomy
作者:
周雪玲方佳峰蔡蕾何晓兰杨运娥粟静黄师菊司徒杰郑宗珩李晓玲
510630 广州,中山大学附属第三医院外科
Author(s):
Zhou Xueling Fang Jiafeng Cai Lei He Xiaolan Yang Yun'e Su Jing Huang Shiju Situ Jie Zheng Zongheng Li Xiaoling.
Department of Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
直肠癌 腹腔镜 神经电刺激技术 排尿功能 性功能
DOI:
10.3877/cma.j.issn.1674-3253.2017.05.013
摘要:
目的 在腹腔镜直肠癌根治术中应用神经电刺激技术进行盆腔自主神经的监测及保护,探讨该方法对直肠癌患者术后排尿及勃起功能保护的作用。方法 对中山大学附属第三医院2014 年10 月至2016 年10 月收治的92 例腹腔镜直肠癌根治术患者进行前瞻性随机对照研究,实验组应用神经电刺激技术进行盆腔自主神经监测及保护,对照组采用肉眼神经辨认及保护。采用超声测定膀胱残余尿(RUV)、国际前列腺症状评分(IPSS)、二次导尿率等指标评估排尿功能;勃起功能国际指数问卷(IIEF-5)评估男性勃起功能。结果 与对照组相比,实验组患者手术时间增加[(146±24)min vs (125±28) min,P<0.01]。实验组术后RUV 值[ 术后7 d:(32±16) ml vs(52±19) ml,P=0.005;术后1 个月:(26±13) ml vs (40±18) ml,P=0.026] 及IPSS 值[ 术后7 d:(8±4)分vs(12±5)分,P=0.008;术后1 个月:(6±3)vs(8±4),P=0.021] 均低于对照组。实验组术后IIEF-5数值高于对照组[ 术后3 个月:(10.7±2.2) vs (9.3±2.4),P<0.01;术后6 个月:(15.4±1.8)vs (13.2±2.0),P<0.01]。结论 腹腔镜直肠癌根治术中使用神经电刺激技术辨识保护盆腔自主神经是可行的,能更有效保护患者术后的排尿及勃起功能。

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备注/Memo

备注/Memo:
基金项目:广东省自然科学基金(2015A030313063)
通讯作者:李晓玲,Email:zhanglixiaoling@163.com
更新日期/Last Update: 2017-10-25