臀部注射致神经损害的临床和电生理分析

Clinical and electrophysiological analysis of nerve injury due to intragluteal injection

目的 回顾性分析臀部注射致坐骨神经及其分支损害的临床和电生理表现。方法 对 40例患者结合其临床表现 ,分析腓和胫神经传导检测以及胫骨前肌、腓肠肌和股二头肌针电极肌电图之所见。结果 男性多于女性 ,小儿多于成人 ( 90 .3 % ) ;单纯腓神经损害 2 4例、单纯胫神经损害 7例、坐骨神经损害 9例。结论 电生理检测对确定受损神经、损害性质、损害程度及评价预后有重要价值。

Objective To analyze retrospectively the clinical and electrophysiological findings of sciatic nerve and its branches injury due to intragluteal injection.Methods Forty patients were summarized, in which peroneal and tibial nerve conduction studies and the needle electromyographic examinations in muscles of tibialis anterior, gastrocnemius and biceps femoris were performed, combinating with clinical manifestations.Results Of 40 patients there were 37 children and 3 adults, involvong male more than female (31/9). The impairment of sciatic nerve accounted for 9 cases, peroneal nerve alone for 24 cases and tibial nerve alone for 7 cases.Conclusion The electrophysiological studies were of much significance in evaluating injury nerve, nature, severity and prognosis.