手术合并周围神经损伤分析  

PERIPHERAL NERVE INJURY AS A COMPLICATION FROM ORTHOPEDIC OPERATION

作　　者：黄耀添[1] 褚晓朝[1] 朱庆生[1] 黄鲁豫[1] 

机构地区：[1]第四军医大学西京医院全军骨科研究所

出　　处：《中国修复重建外科杂志》1997年第6期343-346,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：报道３５年来，收治的１０７例手术合并周围神经损伤的临床资料，其中手术切割伤４４例，占４１％；牵拉、压迫伤２７例，占２５％。遭受损伤的周围神经中，桡神经４１例，腓总神经２４例，占全部神经损伤的６０．７％，在导致神经损伤的手术类型中，以骨、关节手术为最多，占８１％。对此类医源性周围神经损伤的原因、预防、诊断和治疗进行了讨论。强调，为预防此类神经损伤的发生，外科医生必须具有丰富的解剖知识，加强责任心，认真处理好每一个手术。一旦怀疑有这类损伤，应早期诊断，采用有效方法即时治疗。Nerve injury following operation is one of the main causes of the iatrogenic peripheral nerve injury. In order to learn lessons from these cases, one hundred and seven cases of peripheral nerve injury complicated with the orthopedic operations were analyzed. Forty four cases were cutting injury during operation, made up 41% of all cases and 27 cases were stretch and compression injury, made up 25%. The involved nerves included 41 radial nerves and 24 common peroneal nerves, composing 60.7% of all nerve injury. The operations responsible were mainly the bone and joint operations, which made up 81%. The cause, prophylaxis, diagnosis and treatment were discussed. The rich appropriate knowledge of anatomy and responsibility of the surgeon were emphasized in order to prevent the occurrence of complication. Once the injury was suspected, diagnosis should be made promptly and effective treatment should be performed in time.

关 键 词：周围神经损伤 医源性损伤 手术合并症 

分 类 号：R619.5[医药卫生—外科学] R651.3[医药卫生—临床医学]