医源性周围神经损伤43例分析

An analysis of iatrogenic injuries of peripheral nerve: a report of 43 cases

目的 :阐述医源性神经损伤的伤因、治疗和预防措施。方法 :分析 1 1年间收治的 4 3例医源性神经损伤的病例。结果 :伤因分为手术误伤 压迫伤 注射性损伤和放射性损伤。 1 6例保守治疗 ,2 4例显微手术治疗 ,1例肌腱移位 ,1例跟腱延长 ,1例姑息性手术 ,除放射性损伤外 ,获得较好预后。结论 :手术误伤是医源性神经损伤的首位原因 ;医务工作者具有高度的责任感 ,坚实的解剖知识和细致的操作是预防医源性神经损伤的关键。

Objective: To investigate the causes,treatment and prevention of iatrogenic nerve injuries Methods: 43patients with iatrogenic nerve injuries were treated from 1991 to october 2002 Results: The causes were surgical injury, compression injury, injection injury and radial injury Conservative treatment was used in 16 cases Neurolysis,anastomosis or nerve grafting were used in 24 cases and recovery was achieved Orthopedic operation was used in 2 case, appeasement surgery was used in 1 case. Conclusion: The author believed that surgical injury is the main cause of iatrogenic nerve injury To familiarize the anatomy,high responsibility and careful manipulation are crucial to prevent iatrogenic peripheral nerve injury