盆腔淋巴结清扫术中闭孔神经横断2例并文献复习

Obturator nerve transection in pelvic lymphadenectomy: Two case reports and literature review

目的:研究闭孔神经横断特点,为预防及处理闭孔神经横断提供参考。方法:回顾性分析2018年11—2020年11月期间发生的2例因妇科恶性肿瘤行盆腔淋巴结清扫术中闭孔神经横断的病例资料。结果:2例闭孔神经横断分别发生在入骨盆处和髂总静脉分叉处,经术中立即修补及术后对症治疗,术后3个月同侧股内收肌功能障碍及神经感觉缺失的症状均完全消失。结论:术中及术后积极处理闭孔神经横断,预后良好。

Objective: To study the characteristics of obturator nerve transection, and provide reference for prevention and treatment of obturator nerve transection. Methods: Retrospectively analyzed the data of 2 cases of obturator nerve transection during pelvic lymphadenectomy due to gynecological malignant tumors from November 2018 to November 2020. Results: Two cases of obturator nerve transection occurred in the pelvis and the bifurcation of the common iliac vein, and were repaired immediately during the operation and treated with symptomatic treatment after the operation. The adductor femoral muscle dysfunction and nerve loss on the same side were disappeared completely 3 months after the operation.Conclusion: Active treatment of obturator nerve transection during and after operation has a good prognosis.