髋关节骨折——后脱位合并坐骨神经损伤的创伤机制及漏诊分析  

The analysis of traumatic mechanism and missed diagnosis of sciatic nerve injury complicated hip fracture and posterior dislocation

作　　者：李庆涛[1] 张循美 孙树新[1] 邓昌[1] 田凌云[1] 

机构地区：[1]淄博市中心医院骨科,山东省255036

出　　处：《中国创伤骨科杂志》2001年第3期183-184,共2页

摘　　要：目的 探讨髋关节骨折一后脱位合并坐骨神经损伤的创伤机制及漏诊原因。方法 统计分析1986年1月～1997年6月髋关节骨折-后脱位并坐骨神经损伤36例临床资料。结果 此类损伤发病率占同期收治髋关节后脱位的69.3％,明显高于以往的报道,且首诊漏诊率高达58.2％,其中15例病人疗效不满意。结论 特定环境下屈髋、屈膝位时,经股骨轴向的暴力打击是髋关节骨折-后脱位合并坐骨神经损伤的主要创伤机制,细致的临床检查,特别是CT扫描是早期确诊、提高疗效的关键。Objective To study the traumatic mechanism and cause of missed diagnosis of scatic nerve injury complicated by hip fracture and posterior dislocation. Methods Analysis 36 cases of patients with sciatic nerve injury complicated hip fracture and posterior dislocation during Janualy 1986 to June 1997. Results The incidence of this kind of injury was 69. 3%,higher than that reported before. 58. 2% patients were missed at the first dignosis. of them 15 patients had bad result. Conclusion The traumatic mechanism was violence transmit along the thigh with flexed hip and knee. Carefuly examination especially with CT scan was important for early diagnosis and better outcome.

关 键 词：髋关节骨折 创伤机制 漏诊 脱位 诊断 坐骨神经损伤 

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