儿童注射性坐骨神经损伤早期手术与非手术治疗疗效分析

Comparative Analysis of Early Surgical and Non-surgical Treatment for Sciatic Nerve Injury due to Injection in Child

目的比较早期手术与非手术治疗儿童注射性坐骨神经损伤的疗效。方法84例注射性坐骨神经损伤患儿,按治疗方法和时间分为早期非手术治疗组(Ⅰ组,48例)和早期手术治疗组(Ⅱ组,36例)。Ⅰ组主要采用理疗、神经营养药物等非手术治疗,Ⅱ组在损伤后3～21d进行手术探查。结果Ⅰ组半年内完全恢复26例(54.2%),1年内基本恢复18例(37.5%),1年后有4例仅部分恢复;Ⅱ组半年内完全恢复28例(77.8%),1年内基本恢复8例(22.2%)。结论早期手术治疗注射性坐骨神经损伤对于神经功能的恢复有积极意义。

Objective To comparatively analyze the early surgical and non-surgical treatment for sciatic nerve injury due to injection in child. Methods 84 pediatric patients of sciatic nerve injury due to injection were divided into two groups： group Ⅰ （n =48）underwent early non-surgical treatment including physical therapy and neurotrophy medication, group Ⅱ （n =36） underwent early surgery within 3 to 21 days after injury. Results In group Ⅰ , complete recovery was observed in 26 cases within 6 months, and basic recovery in 18 cases within 1 year, and partial recovery in 4 cases even more than 1 year, the overall rate of complete recovery was 54.2% and basic recovery was 37.5%. In group Ⅱ , complete recovery observed in 28 cases within 6 months, and basic recovery in 8 cases within 1 year, the overall rate of complete recovery was 77.8% and basic recovery was 22.2%. Conclusion Early surgical treatment has positive impact on the recovery of sciatic nerve injury due to injection in child.