经尿道膀胱肿瘤切除术中盲法与超声引导下的闭孔神经阻滞:随机对照试验。

IF 1.5 4区 医学 Q3 UROLOGY & NEPHROLOGY
Eylem Yasar, Ali Ihsan Uysal, Ilker Akarken, Basak Altiparmak, Semra Gumus Demirbilek
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引用次数: 0

摘要

目的:本研究的主要结果是比较超声引导下或盲法膀胱镜技术的成功率。第二项研究结果是比较两组患者围手术期出血的发生率以及术后第 3 个月进行对照膀胱镜检查时复发肿瘤的发生率: 研究于2019年12月至2023年3月期间在穆格拉Sitki Kocman培训与研究医院泌尿外科手术室进行。研究共纳入 122 名患者:22 名女性,平均年龄(56.63±12.99)岁;100 名男性,平均年龄(63.18±8.00)岁。其中一组(第1组)由同一位麻醉师在超声引导下进行肛门指诊,另一组(第2组)由同一位泌尿科医师根据解剖学体征盲目进行肛门指诊:结果:第1组53名患者(91.4%)和第2组49名患者(76.6%)未观察到内收肌收缩(P = 0.027):结论:使用超声引导技术进行肛门指诊的成功率高于盲视技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obturator Nerve Block Performed Blinded Versus by Ultrasound-guidence for Transurethral Resection of Bladder Tumors: A Randomized Controlled Trial.

Purpose: The primary outcome of this study is to compare the success rates of ONB techniques performed either with ultrasound guidance or with the blind technique. The second outcome is to compare the incidences of perioperative bleeding and the presence of recurrent tumors in the control cystoscopy performed in the 3rd postoperative month in both groups.

Materials and methods:  The study was conducted in the urology operating room of Mugla Sitki Kocman Training and Research Hospital between December 2019 and March 2023. A total of 122 patients were included in the study: 22 females with a mean age of 56.63 ± 12.99 years and 100 males with a mean age of 63.18 ± 8.00 years. In one group (group 1), ONB was performed under ultrasound guidance by the same anesthesiologist, and in another group (group 2), ONB was performed blindly based on anatomical signs by the same urologist.

Results: Adductor muscle contraction was not observed in 53 patients (91.4%) in group 1 and in 49 patients (76.6%) in group 2 (p = 0.027).

Conclusion: The success rate of ONB was higher when using an ultrasound-guided technique than when using a blind technique.

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来源期刊
Urology Journal
Urology Journal UROLOGY & NEPHROLOGY-
CiteScore
2.60
自引率
6.70%
发文量
44
审稿时长
6-12 weeks
期刊介绍: As the official journal of the Urology and Nephrology Research Center (UNRC) and the Iranian Urological Association (IUA), Urology Journal is a comprehensive digest of useful information on modern urology. Emphasis is on practical information that reflects the latest diagnostic and treatment techniques. Our objectives are to provide an exceptional source of current and clinically relevant research in the discipline of urology, to reflect the scientific work and progress of our colleagues, and to present the articles in a logical, timely, and concise format that meets the diverse needs of today’s urologist. Urology Journal publishes manuscripts on urology and kidney transplantation, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. Accordingly, original articles, case reports, and letters to editor are encouraged.
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