Clinical effect of transurethral resection of bladder tumor with upside down loop and plsamakinetic in the prevention of obturator nerve reflex
10.3760/cma.j.issn.0254-9026.2012.11.009
- VernacularTitle:翻转电切环联合柱状电极在膀胱侧壁肿瘤电切术中预防闭孔神经反射的疗效
- Author:
Sheng WU
;
Lijie ZHU
;
Xiaoming YOU
;
Hongbao SHAO
;
Feng DAI
;
Feng QIN
;
Tao PENG
;
Ninghong SONG
- Publication Type:Journal Article
- Keywords:
Urinary bladder neoplasms;
Obturator nerve
- From:
Chinese Journal of Geriatrics
2012;31(11):952-953
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the results and reality of transurethral resection of bladder tumor(TUR-Bt) with upside down loop and plsamakinetic in the prevention of obturator nerve reflex.Methods A total of 211 patients with lumbar anesthesia received TUR-Bt.Firstly,the tumor tower above bladder wall was cut with the traditional way.When intraoperative findings were obturator nerve reflex,or to the obturator nerve mapping area,operation should be changed to superimpulse plasma column electrode vaporization to cut off residual tumor tissue,then after flipping the loop,the residual tumour was resected with upside-down loop from the tumour side wall.Results In 211 cases,192 cases had a little obturator nerve reflex,but the movement of body was not obvious,which did not influence the operation.The serious complication,such as perforation of bladder and injury of nerve and vessel,did not occur.Conclusions The lateral resection of bladder side wall tumour with upside-down loop can effectively avoid strong obturator nerve reflex,which is safe,uncomplicated,and efficacious and it does not increase the additional outlay and hurt.
