超声引导下腹股沟径路闭孔神经阻滞的应用  

Obturator nerve block by ultrasound-guided inguinal approach

作　　者：董晓西[1] 刘付丽[1] 施克俭[1] 王权光[1] 陈丽梅[1] 刘乐[1] 徐旭仲[1] 

机构地区：[1]温州医学院附属第一医院,温州325000

出　　处：《浙江创伤外科》2011年第1期13-15,共3页Zhejiang Journal of Traumatic Surgery

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。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＇ strength,success rate,theincidence of side effects.Results The strength of thigh adduction in group UONB after obturator nerve block was lower than that in group TONB（52± 7mmHg VS 66±19mmHg,P=0.001）.The block success rate in group UONB was higher than that of TONB（97.4% and 74.2% in group UONB and TONB respectively,P=0.01）.Conclusion The safety and efficacy can be warranted when obturator nerve block technique is performed under ultrasound guidance and has a prospect be widely used in TURBT.

关 键 词：超声 闭孔神经 阻滞 临床效果 

分 类 号：R737.14[医药卫生—肿瘤]