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《Oncology Progress》 2018-02
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Effect of epidural anesthesia combined with local anesthesia by bladder puncture on the obturator nerve reflex in patients with tumor at bladder lateral wall treated with transurethral bladder tumor resection

MA Libin;WU Xiaoying;TANG Fudong;ZHANG Jiaqiang;Department of Anesthesiology, He'nan Provincial People's Hospital;  
Objective To explore the effect of epidural anesthesia combined with local anesthesia by bladder puncture on the obturator nerve reflex in patients with tumor at bladder lateral wall that were treated with transurethral resection of bladder tumor(TURBT). Method 92 cases of patients with tumor at bladder lateral wall were included in the retrospective analysis, and were stratified as study group or control group according to the way of anesthesia, each group included 46 cases, and patients in study group were administered with epidural anesthesia combined with local anesthesia by bladder puncture, while control group was given epidural anesthesia combined with obturator nerve block. The incidence of obturator nerve reflex and complications of the two groups were compared. Result The incidence of obturator nerve reflex in study group was 6.5%(3/46), which was lower than that in control group at 21.7%(10/46), and the difference was of statistically significance(P0.05); the two groups were similar in regard of the incidence of bladder perforation, hematoma, vascular injury and intestinal injury, with no significant difference observed(P0.05). Conclusion Epidural anesthesia combined with local anesthesia by bladder puncture can significantly reduce the incidence of obturator nerve reflex in patients with tumor at bladder lateral wall, and it is a safe and effective treatment.
【CateGory Index】: R614;R737.14
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