CAJ | 학술논문

目的：探讨垂直闭孔神经阻滞法（ VOB）在经尿道膀胱侧壁肿瘤电切术中抑制闭孔神经反射的效果。方法：阶段性分析2012～2014年安徽中医药大学第一附属医院收治的膀胱侧壁肿瘤患者60例，前期30例采用传统法（传统组，T组）；后期30例采用垂直法（ VOB组，V组）。记录每组患者的术中内收肌痉挛情况。结果：两种阻滞方法对术中内收肌收缩的抑制效果无统计学差异。结论：VOB与传统方法效果相当，而VOB只需耻骨结节这一个解剖标志，穿刺过程无需改变进针方向，方法简便。
목적：탐토수직폐공신경조체법（ VOB）재경뇨도방광측벽종류전절술중억제폐공신경반사적효과。방법：계단성분석2012～2014년안휘중의약대학제일부속의원수치적방광측벽종류환자60례，전기30례채용전통법（전통조，T조）；후기30례채용수직법（ VOB조，V조）。기록매조환자적술중내수기경련정황。결과：량충조체방법대술중내수기수축적억제효과무통계학차이。결론：VOB여전통방법효과상당，이VOB지수치골결절저일개해부표지，천자과정무수개변진침방향，방법간편。
Objective:To investigate the inhibitory effects by vertical obturator nerve block ( VOB) on obturator nerve reflex in the transurethral electric re-section of bladder tumor ( TURBT) .Methods:Sixty patients received TURBT at the lateral wall between 2012 and 2014 in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine were included and allocated to group T(conventional spinal anesthesia,n=30) and group V(vertical ob-turator never block n=30).Intraoperative incidences of the adductor muscle spasm were recorded in the two groups.Results:The two groups showed no difference regarding the inhibitory effects on contraction of adductor muscles(P>0.05).Conclusion:The two techniques produce similar inhibitory effects on the adductor muscles in TURBT except for easy administration by blind anatomical approach to VOB at the public tubercle .