摘要
目的 :探讨儿童臀部坐骨神经损伤的临床特点及处理。方法 :回顾性研究分析 139例儿童臀部坐骨神经损伤的临床资料。损伤原因中药物注射伤 133例 ,锐器伤 4例 ,钝器伤 1例 ,手术误伤 1例。分别进行神经松解术 10 4例 ,神经吻合术 4例 ,胫后肌转移 2例 ,胫前肌转移 1例 ,非手术治疗 10例。结果 :139例中除 10例保守治疗者外 ,139例得到 0 .5～ 2 1年 (平均 8.4)的随访。神经松解术 10 4例中优良者 5 8例 ,占 5 5 .77% ;神经吻合术 4例良 1例 ,占 2 5 % ;肌腱转移术优良者 16例 ,占 76 .19%。结论 :儿童臀部坐骨神经损伤以注射伤为最常见。诊断明确后应尽早手术进行神经探查松解 ,年龄愈小 ,手术越早效果越好。对断裂伤应积极认真进行端端吻合。对上述治疗无效者可通过肌腱转移术 。
Objective: To study the clinical characteristics and treatment methods for the injury of sciatic nerve in the cluneal region in children.Methods:The clinical data of 139 cases of sciatic nerve injury in cluneal region of children were analysed retrespeetively.Injection at the wrong site in 133 cases,the injury was caused by cut injury in 4 cases.Contusion: Injury lease,operatiye injury lcase, Neurolysis were done in 104 cases,partial fas cicular anastomosis in 4 cases,By tibialis posteri or muscle transfer in 2 cases,1 case was transfered by musculus tibialis anterior and 10 cases were treated conservatively.Results:129 cases of them were followed up for 0.5～21 3 years(average,8.4 years).The total excellent and good result were obtained in 55.04%.Conclusion:The most common cause of sciatic nerve injury in cluneal region in children is injection injury.Once the diagnosis was established,treatment should be recomended as possible,,which would considerably imtrove the prognosis of the nerve injury in younger children.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第12期1164-1166,共3页
Orthopedic Journal of China
关键词
臀
坐骨神经损伤
儿童
治疗
Cluneal Sciatic nerve Injury Childr$
