膀胱肿瘤电切术中行闭孔神经阻滞防止闭孔神经反射的效果分析

目的 探讨经尿道膀胱肿瘤电切术中采用闭孔神经阻滞防止闭孔神经反射的临床效果.方法 对214例膀胱癌患者行经尿道电切术,治疗组113例在腰-硬联合麻醉基础上进行闭孔神经阻滞,而对照组101例仅行单纯腰-硬联合麻醉.结果 治疗组闭孔神经反射发生率（9.7%）明显低于对照组（22.8%）（P〈0.05）,两组复发率差异无统计学意义（21.2% vs 25.7%,P＆gt;0.05）.结论 在经尿道膀胱肿瘤电切术中采取闭孔神经阻滞能明显减少闭孔神经反射的发生,提高手术的安全性和有效性,临床效果良好.

Effectiveness analysis of obturator nerve block in preventing obturator nerve reflex during transurethral resection of bladder tumors

Objective To discuss the clinical efficacy of the obturator nerve block in preventing obturator nerve reflex during the transurethral resection of bladder tumors（TURBT）. Methods A total of 214 patients with bladder cancer underwent TURBT from January 2006 to July 2013. The experimental group （n = 113 ）underwent obturator nerve block and combined spinal-epidural anesthesia during the surgi- cal procedure. The control group（ n = 101 ）simply underwent combined spinal-epidural anesthesia. Results The incidence of obturator nerve reflex of the experimental group was significantly reduced comparing to the control group（9.7% vs. 22.8% ,P 〈0.05）. The difference in recurrence rate was not significant be- tween two groups（21.2% vs. 25.7% ,P 〉 0.05）. Conclusion Application of obturator nerve block can significantly reduce the incidence of obturator nerve reflex in TURBT. It can obviously improve the safety and efficacy with satisfactory outcomes.