闭孔神经阻滞在膀胱肿瘤电切术中的应用

Application of Obturator Nerve Block in Electrosurgical Resection of Bladder Tumor

摘要: 在临床上，经尿道膀胱肿瘤电切术被大量应用，是较为成熟的一种外科手术方式，临床上麻醉医生常对此类手术方式采取椎管内麻醉，事实上闭孔神经反射难以被椎管内麻醉所抑制，随之术中常发生膀胱穿孔等并发症。随着超声介入技术的不断发展，为了尽可能避免经尿道膀胱肿瘤电切术时发生膀胱穿孔，超声介入下闭孔神经阻滞术因其能够抑制闭孔神经反射而逐渐被广泛的应用。本文就闭孔神经阻滞在膀胱肿瘤电切术中的应用做一综述，以为改善膀胱肿瘤患者术后生活质量提供理论依据，为提高麻醉质量以及舒适化医疗提供应对计划。

Abstract: Transurethral electrosurgical resection of bladder tumors is widely used in clinical practice, which is a relatively mature surgical method. Anesthesiologists often take spinal canal anesthesia for this kind of surgery. Actually the obturator nerve reflex is difficult to be inhibited by spinal canal anes-thesia, and then complications such as bladder perforation often occur in the operation. With the continuous development of ultrasound interventional technology, in order to avoid bladder perfo-ration during resection of transurethral bladder tumor as much as possible, obturator nerve block under ultrasound intervention is gradually widely used because of its ability to inhibit obturator nerve reflex. This paper reviews the application of obturator nerve block in electroresection of bladder tumors, to provide a theoretical basis for improving the postoperative quality of life of pa-tients with bladder tumors, and to provide a response plan for improving the quality of anesthesia and comfortable medical treatment.