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在经尿道前列腺电切术前使用神经刺激器进行简单准确的闭孔神经阻滞。

Use of nerve stimulator for simple and accurate obturator nerve block before transurethral resection.

作者信息

Gasparich J P, Mason J T, Berger R E

出版信息

J Urol. 1984 Aug;132(2):291-3. doi: 10.1016/s0022-5347(17)49600-5.

DOI:10.1016/s0022-5347(17)49600-5
PMID:6737580
Abstract

Adductor contraction from obturator nerve stimulation occurs frequently in certain situations during transurethral operations. Bladder perforation is a common result. A simple and safe technique involving use of a nerve stimulator for accurate obturator blockade is described. There have been no adductor contractions in more than 275 transurethral resections during a 2-year interval. There were no complications from the block itself or use of the nerve stimulator.

摘要

经尿道手术过程中的某些情况下,闭孔神经刺激引起的内收肌收缩频繁发生。膀胱穿孔是常见的后果。本文描述了一种简单安全的技术,即使用神经刺激器进行精确的闭孔神经阻滞。在两年的时间里,超过275例经尿道切除术未出现内收肌收缩。神经阻滞本身或神经刺激器的使用均未引起并发症。

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引用本文的文献

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Effect of obturator nerve block during transurethral resection of bladder tumors on the disease recurrence, progression and surgery outcomes.闭孔神经阻滞在经尿道膀胱肿瘤切除术中对疾病复发、进展和手术结果的影响。
Int Urol Nephrol. 2023 Nov;55(11):2765-2772. doi: 10.1007/s11255-023-03727-6. Epub 2023 Aug 2.
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Effectiveness of spinal anesthesia combined with obturator nerve blockade in preventing adductor muscle contraction during transurethral resection of bladder tumor.脊髓麻醉联合闭孔神经阻滞在经尿道膀胱肿瘤切除术中预防内收肌收缩的有效性。
Turk J Urol. 2017 Dec;43(4):507-511. doi: 10.5152/tud.2017.96992. Epub 2017 Dec 1.
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Obturator Nerve Block in Transurethral Resection of Bladder Tumor: A Comparative Study by two Techniques.
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Anesth Essays Res. 2017 Jan-Mar;11(1):101-104. doi: 10.4103/0259-1162.184613.
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Comparison of inguinal versus classic approach for obturator nerve block in patients undergoing transurethral resection of bladder tumors under spinal anesthesia.脊髓麻醉下经尿道膀胱肿瘤切除术患者腹股沟入路与经典入路闭孔神经阻滞的比较
J Anaesthesiol Clin Pharmacol. 2014 Jan;30(1):41-5. doi: 10.4103/0970-9185.125702.