Abstract：
OBJECTIVE: To explore the effectiveness and safety of the extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position in preventing obturator nerve reflex during plasma resection of bladder tumors (TUR-BT).
METHODS: A total of 112 patients with bladder tumors were included in the study. The control group was placed in a lithotomy position, while the experimental group was placed in an extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position. The grade of leg jerking, operation time, and some operative complications were compared between groups.
RESULTS: The operation time, bleeding volume, the grade of leg jerking, second TUR-BT, and acquisition of detrusor muscle were significantly better in the experimental group compared to the control group (P = 0.018, P = 0.013, P < 0.001, P = 0.041, and P < 0.001, respectively). The grade of leg jerking in the experimental group was extremely low (distributed in grade 1 and 2), and there were no severe reactions in grade 3 and 4.
CONCLUSIONS: The extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position for TUR-BT is a safe and effective treatment method that can effectively prevent obturator nerve reflex, reduce complications, improve surgical efficacy, and reduce anesthesia dependence and risk.
METHODS: A total of 112 patients with bladder tumors were included in the study. The control group was placed in a lithotomy position, while the experimental group was placed in an extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position. The grade of leg jerking, operation time, and some operative complications were compared between groups.
RESULTS: The operation time, bleeding volume, the grade of leg jerking, second TUR-BT, and acquisition of detrusor muscle were significantly better in the experimental group compared to the control group (P = 0.018, P = 0.013, P < 0.001, P = 0.041, and P < 0.001, respectively). The grade of leg jerking in the experimental group was extremely low (distributed in grade 1 and 2), and there were no severe reactions in grade 3 and 4.
CONCLUSIONS: The extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position for TUR-BT is a safe and effective treatment method that can effectively prevent obturator nerve reflex, reduce complications, improve surgical efficacy, and reduce anesthesia dependence and risk.
摘要：
目的：探讨极屈和外展髋关节结合马蹄形多功能腿架位置预防膀胱肿瘤等离子切除术（TUR-BT）中闭孔神经反射的有效性和安全性。
方法：共112例膀胱肿瘤患者纳入研究。对照组置于截石位,而实验组则置于极度屈曲和外展髋结合马蹄形多功能腿架位置。腿部抽搐的等级，操作时间,比较两组手术并发症。
结果：手术时间，出血量,腿部抽搐的等级，第二次TUR-BT,与对照组相比，实验组逼尿肌的获取明显优于对照组（分别为P=0.018，P=0.013，P<0.001，P=0.041和P<0.001）。实验组腿部抽搐的等级极低(分布在1级和2级),3级和4级无严重反应。
结论：极屈和外展髋结合马蹄形多功能腿架位置进行TUR-BT是一种安全有效的治疗方法，可以有效防止闭孔神经反射，减少并发症,提高手术疗效，减少麻醉依赖和风险。
方法：共112例膀胱肿瘤患者纳入研究。对照组置于截石位,而实验组则置于极度屈曲和外展髋结合马蹄形多功能腿架位置。腿部抽搐的等级，操作时间,比较两组手术并发症。
结果：手术时间，出血量,腿部抽搐的等级，第二次TUR-BT,与对照组相比，实验组逼尿肌的获取明显优于对照组（分别为P=0.018，P=0.013，P<0.001，P=0.041和P<0.001）。实验组腿部抽搐的等级极低(分布在1级和2级),3级和4级无严重反应。
结论：极屈和外展髋结合马蹄形多功能腿架位置进行TUR-BT是一种安全有效的治疗方法，可以有效防止闭孔神经反射，减少并发症,提高手术疗效，减少麻醉依赖和风险。
