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.
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。