膀胱肿瘤电切术中闭孔神经反射的临床研究

The Clinical Research of Obturator Nerve Reflex for Transurethral Resection of Bladder Tumor

目的探讨预防膀胱肿瘤电切术中发生闭孔神经反射的方法。方法在经尿道膀胱肿瘤电切术中,采用硬膜外麻醉配合短效肌松药琥珀胆碱,并运用无创正压呼吸囊辅助呼吸的方法,预防闭孔神经反射,患者48例,年龄40～85岁。结果48例电切术中,无1例发生闭孔神经反射。结论硬膜外麻醉配合短效肌松药琥珀胆碱在无创正压呼吸囊辅助呼吸的情况下预防闭孔神经反射,是一种方便、安全、有效的方法。

Objective To prevent the occurrence of obturator nerve reflex during transurethral resection of bladder tumors. Method A group of 48 patients with the bladder tumors were treated by epidural anesthesia adding suxamethonium for prevention. Patients＇ age ranged from 40 to 85 years. Results Obturator nerve reflex did not happen in all the 48 patients. Conclusion Epidural anesthesia adding suxamethonium is a convenient and safe and effective way to prevent the occurrence of obturator nerve reflex.