医源性桡神经损伤诊治的临床探讨

Clinical investigation on the treatment of iatrogenic radial nerve injuries

目的探讨医源性桡神经损伤的病因和手术时机。方法分析1998年5月～2003年1月间收治的16例医源性桡神经损伤病例。结果损伤病因有手术误伤12例,压迫伤2例,手法复位损伤2例。10例显微手术治疗,疗效优者6例,良者2例,可1例,差1例,优良率达80%;6例保守治疗恢复功能。结论手术误伤是医源性桡神经损伤的主要原因,显微外科治疗是挽救医源性桡神经损伤的有效手段,手术时机的选择是影响疗效的重要因素。

Objective To investigate the causes and operation occasion of iatrogenic radial nerve injuries.Methods From May 1998 to Jan 2003,16 patients with iatrogenic nerve injuries were analysed.Results The causes were surgical injury in 12 cases,compression injury in 2 cases, manual reduction injury in 2 cases. Microsurgery was adopted in 10 cases, and conservative trentment was adopted in 6 cases. The outcome of microsurgery was excellent in 6 cases, good in 2 cases, may in 1 case, difference in 1 case. The excellent rate was 80(8/10). Conclusion The surgical injury is the main cause of iatrogenic injuries of radial nerve.Microsurgical remedy is effect method for iatrogenic injuries of radial nerve. The choice of operation occasion is important agent on treatment effect.