医源性周围神经损伤分析  

Analysis of iatrogenic peripheral nerve injury

作　　者：张祖根[1] 张磊冰[2] 田晓滨[1] 邱冰[1] 李波[1] 赵筑川[1] 韩伟[1] 周焯家[1] 

机构地区：[1]贵州省人民医院骨科,贵州贵阳550002 [2]贵阳医学院

出　　处：《中国骨伤》2005年第1期6-7,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的对医源性周围神经损伤进行分析,以引起手术医生高度重视。方法39例医源性周围神经损伤中,神经离断伤27例,神经捆扎伤5例,神经牵拉伤7例。对所有患者发生医源性神经损伤的原因、部位及治疗方法进行介绍。结果3例桡神经牵拉伤经针灸等治疗功能恢复,4例桡神经损伤采用腕伸指伸功能重建术,余32例医源性周围神经损伤经显微外科方法修复,优良率达87%。结论对医源性周围神经损伤应高度重视,正确使用止血带,熟悉解剖,杜绝粗暴手术,一旦发生应当积极采取各种措施补救,尤应尽早采用显微外科技术修复。Objective:To analyze the reason of iatrogenic peripheral nerve injury in order to arouse high attention of surgical doctors.Methods:Reason,position and therapeutic methods of iatrogenic peripheral nerve injury in the 39 cases were introduced and analyzed.Among them,nerve of 27 csaes were be cut,5 cases were be blocken and 7 cases were be dragged.Results:Three patients with iatrogenic peripheral nerve injury through traditional treatment obtained functional recover.Wrist and finger extension functional rehabilitation were used in 4 cases.Microsurgical technique were used in 32 cases,and the rate of excellent and good was 87%.Conclusion:Surgical doctors must be familiar with dissection,using tourniquet correctly,avoiding rude operation.We would actively adopt various remedies if iatrogenic peripheral nerve injury ~had been occurred.

关 键 词：医源性周围神经损伤 牵拉 手术 修复 功能重建术 离断伤 桡神经 应当 目的 

分 类 号：R651.3[医药卫生—外科学] R683[医药卫生—临床医学]