经闭孔行闭孔神经阻滞在预防膀胱侧壁肿瘤电切时闭孔神经反射中的应用

The application of obturator line obturator nerve block in the prevention of obturator nerve reflex in the transurethral bladder sidewalls tumor

目的探讨经闭孔行闭孔神经阻滞在预防膀胱侧壁肿瘤电切时闭孔神经反射中的临床效果。方法将64例膀胱侧壁肿瘤患者按治疗方法分为试验组34例和对照组30例。2组均行经尿道膀胱肿瘤电切术(TURBt),试验组术时加用闭孔神经阻滞辅助治疗。对2组术中并发症情况及复发率进行比较。结果试验组术中闭孔神经反射、膀胱穿孔发生率及复发率分别为5.88%、2.94%、8.82%,低于对照组的30.00%、23.33%、30.00%,差异均有统计学意义(P<0.05)。结论经闭孔神经阻滞辅助电切除膀胱侧壁肿瘤临床疗效显著,能有效降低闭孔神经反射的发生及复发率,值得临床推广应用。

Objective To investigate the clinical treatment efficacy of obturator line obturator nerve block in the prevention of obturator nerve reflex in the transurethral bladder sidewalls tumor. Methods 64 cases of patients with tumors of bladder sidewall in our hospital were chosen. 34 cases with the adjuvant treatment of the obturator nerve block in the surgical procedures were set as the experimental group. 30 cases with the obturator nerve block adjuvant therapy were set as the control group. The clinical data and treatment effects for the two groups of patients were analyzed retrospectively. Results During sur- gery, there were 2 cases with obturator nerve reflex （ 5.88 % ）. The perforation of the bladder in patients was in 1 case, account- ing for 2.94%. There were 9 cases with obturator nerve reflex in the control group,accounting for 30.00%. 7 cases were with bladder perforation in patients, accounting for 23.33%. The complications in the two groups of patients were taken for statistical analysis（ P 〈 0.05 ）. Conclusion The obturator nerve block auxiliary power removal of the bladder wall tumors in surgical complications, treatment effects were significantly better than direct electrical excision of the bladder sidewall tumors, and with significant differences, can reduce the relapse rate of patients effectively. It is with significant clinical efficacy and worthy of clinical application.