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脊髓损伤所致神经源性膀胱功能障碍患者行尿道外括约肌切开术时采用局部麻醉或不麻醉。

Topical or no anaesthesia for external urethral sphincterotomy in neurogenic vesical dysfunction due to spinal injury.

作者信息

Rao M S, Bapna B C, Gupta C L, Bhat V N, Reddy M J, Rao K M, Singh H

出版信息

Paraplegia. 1977 Nov;15(3):226-9. doi: 10.1038/sc.1977.34.

DOI:10.1038/sc.1977.34
PMID:593712
Abstract

Considerable controversy exists regarding the ideal anaesthetic coverage for external urethral sphincterotomy in spinal injury patients with detrusor-sphincter dyssynergia. From this preliminary experience on 34 patients in whom this procedure was indicated and then attempted under topical (urethral instillation of 20 ml of 2 per cent Lignocaine jelly) or no anaesthesia, we are encouraged into believing that these patients may not require general or regional anaesthesia for this operation.

摘要

对于患有逼尿肌-括约肌协同失调的脊髓损伤患者进行外尿道括约肌切开术的理想麻醉覆盖范围,存在相当大的争议。根据对34例有该手术指征并随后尝试在局部麻醉(尿道滴注20毫升2%利多卡因凝胶)或无麻醉情况下进行该手术的患者的初步经验,我们有信心认为这些患者进行该手术可能不需要全身麻醉或区域麻醉。

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