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医源性桡神经损伤 被引量:1

The iatrogenic injury of radial nerve
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摘要 目的总结31例医源性桡神经损伤的经验教训。方法手术治疗25例,非手术治疗6例。手术行端端鞘膜法缝合13例,束膜法缝合5例,神经移植4例,粘连松解3例。结果按朱家恺标准评价,优者24例,良者6例,可者1例。随访时间最长者10年,最短者1年。结论熟知桡神经和肱骨干及桡骨小头的密切解剖关系和细致的手术操作,加强医生的责任心,医源性桡神经损伤是完全可以避免的。手术应尽早进行,不必考虑骨折愈合与否。 Objective To report a retrospective study of 31 patients with radial nerve injury following opera tion. Methods Twenty five patients were treated surgically, the other 6 patients were treated without opera tion. Thirteen cases were sutured by end to end of neurilemma, 5 patients by perineurium, another 4 pa tients were repaired by nerve graft and nerve lysis were performed on 3 patients in surgical group. Results All patients were evaluated by ZHU Jia-kai' norm. The recovery of 24 patients were excellent, 6 cases were good, one patient was fair. The follow up was from one year to ten years. Conclusion The iatrogenic radial nerve in jury can be avoid if doctor take a high responsibility and improving the knowledge on location of radial nerve in- disphysis of humorous and capitula of radius. At same time more attention should be taken in operation. The ear ly the operation is done, the better the result is, regardless of healing of fracture.
出处 《哈尔滨医科大学学报》 CAS 2000年第3期186-187,共2页 Journal of Harbin Medical University
关键词 医源性桡神经损伤 解剖 外科手术 radial nerve iatrogenic injury anatomy operat
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参考文献3

  • 1左云党,中华手外科杂志,1995年,11卷,1期,13页
  • 2朱家恺,中华医学杂志,1986年,66卷,66期,453页
  • 3北京积水潭医院,手外科学,1978年,272页

同被引文献4

  • 1林其仁,郑文忠,王文怀,姚学东,吴文华,李树梁,崔冈山.医源性挠神经断伤[J].中华手外科杂志,1995,11(1):62-62. 被引量:3
  • 2左云亮 刘金榜 李国有.医源性桡神经损伤9例报告[J].中华手外科杂志,1995,(1):13-13.
  • 3George Bonney. Iatrogenic infuies of nerves[J]. J Bone Joint Surg, 1986 ; 68B(1) : 9 - 13.
  • 4张咸中 王国君 等.应用显微外科技术治疗周围神经损伤200例[J].中华显微外科杂志,1986,9(3):133-135.

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