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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
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摘要 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.
作者 陈丽萍 康翔 彭明刚 王绍海 CHEN Liping;KANG Xiang;PENG Minggang;WANG Shaohai(Department of Obstetrics&Gynecology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)
出处 《临床急诊杂志》 CAS 2021年第4期279-281,共3页 Journal of Clinical Emergency
关键词 闭孔神经损伤 神经横断 盆腔淋巴结清扫 妇科恶性肿瘤 obturator nerve injury neurotmesis pelvic lymphadenectomy gynecological malignancies
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