髋臼骨折合并股神经损伤相关因素分析及临床治疗  

Correlative factors influencing acetabular fracrure associated wifh the femoral nerve injury

作　　者：吴钢[1] 史小亚[1] 张磊[1] 马海[1] 

机构地区：[1]四川省营山县人民医院骨科,637700

出　　处：《中国实用医药》2012年第34期44-45,共2页China Practical Medicine

摘　　要：目的分析总结髋臼骨折合并股神经损伤的相关因素。方法回顾性分析我院2001年1月至2010年12月患髋臼骨折合并股神经损伤的患者6例,根据肌电图、临床症状等分析股神经损伤的原因,根据不同的损伤原因针对性治疗方法方法。患者随访1～3年,平均随访2年,观察患者股四头肌肌力及感觉功能的恢复情况。结果本组6例患者,股骨骨折进而引起股神经损伤的患者1例,因血肿压迫导致股神经损伤的患者1例,因髋关节外伤手术引起股神经损伤的患者2例,因腹股沟脓肿切开引流术所致的股神经损伤2例。患者随访1～3年,股四头肌肌力均有恢复,患者感觉功能也有不同程度的恢复。结论髋臼骨折合并股神经损伤临床上少见,常见股神经损伤的原因有骨折、血肿压迫以及医源性损伤等。股神经损伤应引起重视。Objective Analysis and summary of related factors of acetabular fracture and femoral nerve injury. Methods Retrospective analysis of January 2001-December 2010-patient in our hospital patients with fractures of the acetabulum and femoral nerve injury in 6 cases, according to the analysis of electromyography, clinical symptoms, such as causes of femoral nerve injury, according to the different causes of injury-specific treatment method. 1~3-year follow-up of patients with an average 2-year follow-up, observation and femoral quadriceps muscle strength in patients with sensory function recovery. Results The set of 6 patients femoral fracture and cause nerve damage in patients with 1 case, 1 in patients with femoral nerve injury due to hematoma oppression cases, patients with femoral nerve injury due to trauma surgery of the hip 2 cases, due to groin incision and drainage of abscess of 2 cases of femoral nerve injury. 1~3 years of patient follow-up, quadriceps muscle recovery of muscle strength, and sensory function in patients with different degree of recovery. Conclusion Acetabular fracture with femoral nerve injury is rare, common femoral nerve injury due to a fracture, hematoma of oppression and iatrogenic damage and so on. Femoral nerve injury should be brought to attention.

关 键 词：髋臼骨折 股神经损伤 股四头肌 

分 类 号：R687.3[医药卫生—骨科学]