【摘要】 目的：探索不同麻醉方式對老年膀胱肿瘤患者经尿道膀胱肿瘤切除术(TURBT)的临床效能。方法：选取2020年12月—2022年12月202例于菏泽市中医医院治疗的老年膀胱肿瘤患者为研究对象，按照手术麻醉方式分组，其中A组(采用静脉全身麻醉)66例，B组(采用硬膜外麻醉)62例，C组(采用硬膜外麻醉复合超声下闭孔神经阻滞)74例。所有患者均行TURBT治疗，综合比较三组手术一般情况(手术时间、术中出血量、术后住院时间)、并发症发生情况、炎症因子水平。结果：三组手术时间、术中出血量差异均无统计学意义(P>0.05)；C组术后住院时间显著短于A组和B组(P0.05)；三组膀胱穿孔、膀胱出血发生率差异均无统计学意义(P>0.05)，C组闭孔神经反射发生率显著低于A组和B组(P0.05)；术后C组肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、白介素-8(IL-8)等炎症因子水平均显著低于A组和B组(P0.05)， the postoperative hospital stay in group C was significantly shorter than those in group A and group B (P0.05). There were no significant differences in the incidence of bladder perforation and bladder bleeding among the three groups (P>0.05)， the incidence of obturator nerve reflex in group C was significantly lower than those in group A and group B (P0.05). The levels of inflammatory factors (TNF-α ......