CSEA联合闭孔神经阻滞麻醉下应用TURBT治疗NMIBC的临床分析

目的 探讨腰硬联合麻醉(CSEA)及闭孔神经阻滞麻醉下应用经尿道膀胱肿瘤电切术(TURBT)治疗非肌层浸润性膀胱癌(NMIBC)的效果.方法 选取NMIBC患者52例,随机分为2组.A组26例采用CSEA联合闭孔神经阻滞麻醉下应用TURBT治疗;B组26例仅在CSEA麻醉下应用TURBT治疗.比较2种麻醉下并发症的发生率、手术时间、尿管留置时间及平均住院天数.结果 A组比B组膀胱穿孔、闭孔神经反射及肌肉收缩等并发症发生率低,术中出血量少,手术时间和尿管留置时间短,平均住院天数无明显差别.结论 CSEA联合闭孔神经阻滞麻醉下应用TURBT治疗NMIBC的并发症较少,安全性更高,具有良好的临床效果.

Clinical Analysis of TURBT under CSEA and Obturator Nerve Block Anesthesia for NMIBC

Objective To study the effect of TURBT under CSEA and obturator nerve block anesthesia for NMIBC.Methods 52 NMIBC patients were randomly divided into 2 groups,each with 26 cases,group A received TURBT under CSEA and obturator nerve block anesthesia,group B received TURBT under CSEA.Incidence of complications,operation time,urine tube indwelling time and average hospital stay of the 2 groups were compared.Results There are lower Bladder perforation rate,lower obturator nerve reflex,less muscle contraction,less intraoperative blood loss,operative time and urine tube indwelling time in A than B.Conclusion TURBT under CSEA and obturator nerve block anesthesia for NMIBC has higher security and better clinicaleffect with fewer complications.