| 超声引导下腹股沟径路闭孔神经阻滞的应用 |
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| 引用本文： | 董晓西,刘付丽,施克俭,王权光,陈丽梅,刘乐,徐旭仲.超声引导下腹股沟径路闭孔神经阻滞的应用[J].浙江创伤外科,2011,16(1):13-15. |
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| 作者姓名： | 董晓西 刘付丽 施克俭 王权光 陈丽梅 刘乐 徐旭仲 |
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| 作者单位： | 温州医学院附属第一医院,温州,325000 |
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| 摘 要： | 目的观察超声引导下腹股沟径路闭孔神经阻滞在经尿道膀胱肿瘤电切术中预防闭孔神经反射的临床效果和并发症。方法行经尿道膀胱肿瘤电切术患者50例,随机分为2组：超声引导腹股沟径路闭孔神经阻滞组（UONB组,25例）和传统闭孔神经阻滞组（TONB组,25例）。闭孔神经阻滞前后分别测定阻滞侧大腿内收肌力量。记录两种闭孔神经阻滞方法成功率及副作用发生情况等。结果 UONB组和TONB组患者阻滞侧大腿内收肌力量闭孔神经阻滞后分别为52±7mmHg和66±19mmHg,UONB组显著小于TONB组（P=0.001）。UONB组阻滞成功率为97.4%,显著高于TONB组（74.2%）（P=0.01）。结论超声引导闭孔神经阻滞成功率高,可以安全、有效的预防膀胱肿瘤电切术闭孔神经反射。
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| 关 键 词： | 超声 闭孔神经 阻滞 临床效果 |
Obturator nerve block by ultrasound guided inguinal approach |
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| DONG Xiaoxi,LIU Fuli,SHI Kejian,et al..Obturator nerve block by ultrasound guided inguinal approach[J].Zhejiang Journal of Traumatic Surgery,2011,16(1):13-15. |
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| Authors: | DONG Xiaoxi LIU Fuli SHI Kejian |
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| Institution: | DONG Xiaoxi,LIU Fuli,SHI Kejian,et al.the First Affiliated Hospital of Wenzhou Medical College,Zhejiang 325000,China |
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| Abstract: | Objective To evaluate the effectiveness of an inguinal approach for ultrasound-guided obturator nerve block technique in transurethral resection of the bladder tumor(TURBT).Methods Fifty patients with bladder tumors scheduled to undergo TURBT were randomly divided into two groups(n=25 in each group):group UONB in which obturator nerve blocks were guided by the ultrasound and group TONB on whom traditional obturator nerve blocks were performed.Data collected included:preblock and postblock adductor muscles' ... |
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| Keywords: | Ultrasound Obturator Nerve Block Clinical Effect |
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