Application value of extreme flexion and abduction hip combined with stirrup-shaped multifunctional leg frame in blocking obturator nerve reflex in transurethral resection of bladder tumor

作者全名："Xiong, Yongjiang; Zhao, Tao; Li, Changlong"

作者地址："[Xiong, Yongjiang; Zhao, Tao; Li, Changlong] Chongqing Med Univ, Yongchuan Hosp, Dept Urol, Chongqing 402160, Peoples R China"

通信作者："Li, CL (通讯作者)，Chongqing Med Univ, Yongchuan Hosp, Dept Urol, Chongqing 402160, Peoples R China."

来源：INTERNATIONAL UROLOGY AND NEPHROLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001190134900002

JCR分区：Q3

影响因子：1.8

年份：2024

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Obturator nerve reflex; Extreme flexion; Abduction hip; Stirrup-shaped multifunctional leg frame; Bladder tumor; Transurethral resection of bladder tumor

摘要："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. Conclusion 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."

基金机构："the Project of Yongchuan Hospital Of Chongqing Medical University [YJLC202125]; Project of Yongchuan Hospital of Chongqing Medical University; Urology Research Center, Yongchuan Hospital of Chongqing Medical University"

基金资助正文："This study was supported by the Project of Yongchuan Hospital of Chongqing Medical University (no: YJLC202125). We wish to express special thanks to the Urology Research Center, Yongchuan Hospital of Chongqing Medical University. We also wish to thank Mrs. Chen Xinyu."