目的 探讨腹腔镜和开腹直肠癌根治术对男性性功能的影响.方法 将2001年5月至2008年11月间行完全腹腔镜下直肠癌根治术的17例65岁以下的男性病人作为研究对象,另选择同期施行开腹手术的21例男性直肠癌病人作为对照组.对两组病例术后性功能情况进行回顾分析.结果 两组之间术前及术后6个月、12个月IIEF-5评分无明显差异,无论腹腔镜组还是开腹组术后IIEF.5评分均较术前有下降,差异有统计学意义(P<0.05).两组与手术有关的射精功能障碍发生率,术后6月时为37.50%和42.11%(P>0.05),术后12月时为37.50%和36.84%(P>0.05),两组比较差异均无统计学意义.结论 腹腔镜直肠癌根治术后性功能障碍的发生率与开腹手术相比没有差异.%Objective To investigated the frequency of sexual dysfunction of rectal cancer patients treated with laparoscopically and conventional open resection. Methods Male sexual function was retrospectively analyzed in patients who underwent laparoscopic surgery (LS group, n=17) and open surgery(OS group, n=21). Results IIEF-5 scores of LS and OS were (21.08±2.41) vs (21.29±2.61) preoperatively(P>0.05), and (17.12±5.60) vs (16.14±6.15) (P>0.05)at 6th month after operation, and(17.47±5.42) vs (16.52±6.01) (P>0.05)at 12th month after operation. For LS group and OS group, the postoperative scores of IIEF-5 were significantly lower than that of preoperative scores. The postoperative incidence of ejaculative dysfunction in two groups was 35.70% vs 42.10% at 6th month and 35.70% vs 36.84% at 12th month respectively. There was no significant difference in incidence of ejaculative dysfunction be-tween two groups. Conclusion No difference was found in the incidence of sexual dysfunction for rectal cancer patients treated by laparoscopic surgery or open surgery.
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