垂直闭孔神经阻滞在经尿道膀胱侧壁肿瘤电切术中的应用  

Application of vertical obturator nerve block to transurethral resection of bladder tumors at the lateral wall

作　　者：张丁[1] 王守义[1] 蔡瑞[1] 陈庆一[1] 

机构地区：[1]安徽中医药大学第一附属医院麻醉科,安徽合肥230031

出　　处：《皖南医学院学报》2015年第1期67-69,共3页Journal of Wannan Medical College

摘　　要：目的：探讨垂直闭孔神经阻滞法（VOB）在经尿道膀胱侧壁肿瘤电切术中抑制闭孔神经反射的效果。方法：阶段性分析2012-2014年安徽中医药大学第一附属医院收治的膀胱侧壁肿瘤患者60例,前期30例采用传统法（传统组,T组）;后期30例采用垂直法（VOB组,V组）。记录每组患者的术中内收肌痉挛情况。结果：两种阻滞方法对术中内收肌收缩的抑制效果无统计学差异。结论：VOB与传统方法效果相当,而VOB只需耻骨结节这一个解剖标志,穿刺过程无需改变进针方向,方法简便。Objective： To investigate the inhibitory effects by vertical obturator nerve block（ VOB） on obturator nerve reflex in the transurethral electric resection of bladder tumor（ TURBT）. Methods： Sixty patients received TURBT at the lateral wall between 2012 and 2014 in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine were included and allocated to group T（ conventional spinal anesthesia,n = 30） and group V（ vertical obturator never block n = 30）. Intraoperative incidences of the adductor muscle spasm were recorded in the two groups. Results： The two groups showed no difference regarding the inhibitory effects on contraction of adductor muscles（ P〉 0. 05）. Conclusion： The two techniques produce similar inhibitory effects on the adductor muscles in TURBT except for easy administration by blind anatomical approach to VOB at the public tubercle.

关 键 词：垂直闭孔神经阻滞 经尿道膀胱肿瘤电切术 闭孔神经反射 

分 类 号：R737.1[医药卫生—肿瘤]