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闭孔神经阻滞。经尿道手术期间预防膀胱壁损伤。

The obturator nerve block. Preventing damage of the bladder wall during transurethral surgery.

作者信息

Hradec E, Soukup F, Novák J, Bures E

出版信息

Int Urol Nephrol. 1983;15(2):149-53. doi: 10.1007/BF02085445.

DOI:10.1007/BF02085445
PMID:6629690
Abstract

During transurethral electroresection in the posterolateral bladder neck, trigone and posterior urethra, unintentional contractions of the thigh-adductor muscles may occur due to irritation of the obturator nerve. The sudden displacement of the bladder wall against the cutting loop may cause a perforation of the bladder. The authors describe the topographic relation of the bladder wall to the passage of the obturator nerve in the minor pelvis. The technique of obturator nerve block by local anaesthesia is described and its efficacy is demonstrated in 21 patients.

摘要

在经尿道对膀胱后外侧颈部、三角区及后尿道进行电切术时,闭孔神经受到刺激可能会导致大腿内收肌意外收缩。膀胱壁突然抵靠切割环移位可能会导致膀胱穿孔。作者描述了膀胱壁与小骨盆中闭孔神经走行的局部解剖关系。介绍了局部麻醉下闭孔神经阻滞技术,并在21例患者中证明了其有效性。

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本文引用的文献

1
MASSIVE ADDUCTOR MUSCLE CONTRACTION IN TRANSURETHRAL SURGERY: CAUSE AND PREVENTION; DEVELOPMENT OF ELECTRICAL CIRCUITRY.经尿道手术中内收肌的剧烈收缩:原因与预防;电路的研发
J Urol. 1965 Feb;93:263-71. doi: 10.1016/S0022-5347(17)63757-1.
2
Use of neuromuscular blocking drugs to counteract thigh-adductor spasm induced by electrical shocks of obturator nerve during transurethral resection of bladder tumors.在经尿道膀胱肿瘤切除术中使用神经肌肉阻滞剂来对抗闭孔神经电刺激引起的大腿内收肌痉挛。
J Urol. 1961 Mar;85:295-6. doi: 10.1016/S0022-5347(17)65326-6.
3
Abolition of mass femoral muscular contractions during transurethral resection.
Obturator nerve block transurethral surgery for bladder cancer: comparison of inguinal and intravesical approaches: prospective randomized trial.
闭孔神经阻滞用于经尿道膀胱癌手术:腹股沟入路与膀胱内入路的比较:前瞻性随机试验
Ir J Med Sci. 2016 Aug;185(3):555-560. doi: 10.1007/s11845-015-1300-y. Epub 2015 Apr 22.
4
Treatment of bladder tumors and benign prostatic hyperplasia with a new TUR system using physiological saline as perfusate.使用生理盐水作为灌注液的新型经尿道切除术系统治疗膀胱肿瘤和良性前列腺增生。
World J Surg. 2006 Mar;30(3):473-7. doi: 10.1007/s00268-005-0258-8.
经尿道前列腺电切术中股部肌肉群收缩的消除
J Mt Sinai Hosp N Y. 1957 Jan-Feb;24(1):23-5.
4
Prevention of obturator nerve stimulation during transurethral surgery.经尿道手术中闭孔神经刺激的预防
J Urol. 1980 Feb;123(2):170-2. doi: 10.1016/s0022-5347(17)55837-1.