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目的探讨预防膀胱肿瘤电切术中闭孔神经反射的方法。方法连硬外麻醉下采用凝剥术,即用较高功率的电凝使肿瘤、肿瘤基底部及周围组织凝固炭化,然后用电切环钩拉剥脱,至达膀胱肌层甚至全层,一般不用电切方式,以预防闭孔神经反射。结果31例膀胱肿瘤凝剥术,无一例发生明显闭孔神经反射。手术时间10-30分钟,平均17分钟。结论凝剥术预防膀胱肿瘤电切闭孔神经反射有效、简单、安全,且极少出血。
Objective To explore the method of preventing obturator nerve reflex in resection of bladder tumor. Methods with external anesthesia using coagulation stripping surgery, that is, the use of high-power coagulation of the tumor, the tumor base and surrounding tissue coagulation charring, and then cut with electric hook hook peel to reach the bladder muscle layer or even full, generally Do not cut the way to prevent obturator nerve reflex. Results 31 cases of bladder tumor coagulation surgery, no case of significant obturator nerve reflex. Surgery time 10-30 minutes, an average of 17 minutes. Conclusion Condensation technique is effective, simple and safe in preventing the neuroreflection of the bladder tumor with electrically cut-off holes.