儿童注射性坐骨神经损伤分型  

Typing of Sciatic Nerve Injury for Injection of Children

作　　者：武富良 

机构地区：[1]河南省洛阳市第二中医院,河南洛阳471000

出　　处：《中医临床研究》2015年第3期29-31,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：从解剖角度总结归纳儿童注射性坐骨神经损伤的病理机制、临床分型、手术要点。方法：对我院22例儿童注射性坐骨神经损伤进行常规手术探查，标出坐骨神经受损部位，结合临床解剖坐骨大孔处分段，将该病分为三型，坐骨大孔内型、坐骨大孔外型、坐骨神经干型。本组病例中坐骨大孔内型2例，坐骨大孔外型17例，坐骨神经干型3例。结果：22例惠儿手术后经1～5年随访，优13例，良6例，可3例，优良率86％。结论：坐骨大孔内型儿童注射性坐骨神经损伤病情重，手术复杂，术后不佳。Objective： From the point of anatomy, to summarize the mechanisms, typing and surgery essentials of sciatic nerve injuries of children for injection. Methods： We performed normal surgery detection for 22 children of sciatic nerve injury for injection treated in our hospital and we recorded the injury locations. Combined with greater sciatic foremen section, the disease was typed as greater sciatic foremen inside, greater sciatic foremen outside and nerve trunk. In this sample, 2 cases of greater sciatic foremen inside type, 17 cases of greater sciatic foremen outside type and 3cases of nerve trunk. Results： With 1-5 years of follow-up visit after the operation, 13 cases showed good effect and 6 cases fine effects, with effective rate of 86%. Conclusion： The greater sciatic foreman inside type of sciatic nerve injury of children for injection is more severe and operation is complex that the prognosis is poor.

关 键 词：坐骨大孔 坐骨神经 注射 药物 损伤 

分 类 号：R681.6[医药卫生—骨科学]