摘要
目的:分析医源性臂段桡神经损伤及治疗,提高手术医生对此损伤的重视。方法:对医源性臂段桡神经损伤患者28例的临床特征、治疗方法及预后进行回顾性分析。结果:常见损伤原因为钳夹伤,止血带伤,与内置物摩擦损伤,被压于内置物下,游离不带肌袖的神经干过长,牵拉伤,电刀灼伤,切割伤;轻度桡神经麻痹给予保守治疗,恢复良好;中、重度桡神经麻痹予手术探查修复,恢复优良率75%。结论:对医源性臂段桡神经损伤应高度重视,发生中、重度桡神经麻痹应尽早采用外科技术修复,预后良好。
Objective To analyze nerves in the section of arms. Methods： the clinical characteristics of iatrogenic injury of the radial Clinical data of 28 patients with iatrogenic injury of radial nerves were analyzed retrospectively, including the clinical characteristics, treatment methods and prognosis. Results. The primary causes of iatrogenic injury of the radial nerves were clipping, compression from tourniquet or bone inlay, friction with bone inlay, long freeing radial nerves without cuff, traction injury, burned by electrocoagulation electrotome, and incision. The patients with slight radial nerve paralysis had a favorable prognosis after conservative treatments,whereas the patients with moderate or severe radial nerve paralysis have been treated with surgery. Results. Surgeons should pay more attention to iatrogenic injury of the radial nerves during pro- cedures. Patients with moderate or severe radial nerve paralysis should be treated with surgery to improve prognosis.
出处
《神经损伤与功能重建》
2011年第6期437-439,共3页
Neural Injury and Functional Reconstruction
关键词
桡神经
损伤
修复
显微外科
radial nerve injury repair microsurgery
