避免上肢医源性桡神经损伤的体会  

The Comprehend of Evading Iatrogenic Radial Nerve Injury of Upper Limb

作　　者：邹文[1] 邹勇[1] 刘容珍[1] 许海燕[1] 

机构地区：[1]宜宾市第二人民医院,四川宜宾644000

出　　处：《中外医学研究》2013年第33期168-169,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：介绍避免上肢医源性桡神经损伤的体会。方法：2006年5月-2012年10月，笔者所在医院收治上肢医源性桡神经损伤7例，分析其损伤原因及功能恢复情况。结果：本组7例患者均获得11～15个月随访，平均（13．0±1．2）个月。探查见桡神经不完全性损伤2例，完全性损伤5例；上臂中段桡神经沟处4例，上臂远段穿出外侧肌间隔处1例，前臂上段旋后肌止点处2例；内固定物及骨折端卡压5例，术中直接损伤2例；神经修复术后1年以上功能完全恢复3例，部分恢复2例，无恢复2例。结论：熟悉桡神经的走行，术中显露并保护桡神经可有效避免上肢医源性桡神经损伤。Objective： To introduce the comprehend of evading iatrogenic radial nerve injury of upper limb.Method： Between May 2006 to October 2012, 7 patients of iatrogenic radial nerve injury of upper limb were treated in our hospital, to analyze the injury cause and functional recovery.Result： All patients were followed average （13.0 ± 1.2）months（11-15 months）.2 patients were immaturity radial nerve injury, 5 patients were complete radial nerve injury; 4 patients located groove for radial nerve, 1 patient located lateral muscle compartment, 2 patients located forearm supinator insertion; 5 patients were stamped by internal fixation or bone fracture, 2 patients were intraoperative coup injury; 3 patients were complete recovery, 2 patients were partial recovery, 2 patients were no recovery. Conclusion： The method of familiarity radial nerve anatomy and acting out to safeguard was a modus operandi to evade iatrogenic radial nerve injury of upper limb.

关 键 词：上肢 医源性 桡神经损伤 

分 类 号：R651.3[医药卫生—外科学]