| 医源性周围神经损伤分析 |
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张祖根 |
ZHANG Zu-gen |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
wakely9796 @sina.com. Cn |
| 张磊冰 |
ZHANG Lei-bing |
贵阳医学院 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 田晓滨 |
TIAN Xiao-bin |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 邱冰 |
QIU Bing |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 李波 |
LI Bo |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 赵筑川 |
ZHAO Zhu-chuan |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 韩伟 |
HAN Wei |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 周焯家 |
ZHOU Zhuo-jia |
贵州省人民医院骨科,贵州贵阳550002 |
Department of Orthopaedics,the People's Hospital of Guizhou Province,Guizhou Guiyang,550002,China |
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| 期刊信息：《中国骨伤》2005年18卷，第1期，第6-7页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:对医源性周围神经损伤进行分析,以引起手术医生高度重视。
方法:39例医源性周围神经损伤中,神经离断伤27例,神经捆扎伤5例,神经牵拉伤7例。对所有患者发生医源性神经损伤的原因、部位及治疗方法:进行介绍。
结果:3例桡神经牵拉伤经针灸等治疗功能恢复,4例桡神经损伤采用腕伸指伸功能重建术,余32例医源性周围神经损伤经显微外科方法:修复,优良率达87%。
结论:对医源性周围神经损伤应高度重视,正确使用止血带,熟悉解剖,杜绝粗暴手术,一旦发生应当积极采取各种措施补救,尤应尽早采用显微外科技术修复。 |
| [关键词]:医源性周围神经损伤 功能恢复 显微外科 |
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| Analysis of iatrogenic peripheral nerve injury |
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Abstract:
Objective:To analyze the reason of iatrogenic peripheral nerve injury in order to arouse high attention of surgical doctors.
Methods:Reason,position and therapeutic methods of iatrogenic peripheral nerve injury in the 39 cases were introduced and analyzed.Among them,nerve of 27 csaes were be cut,5 cases were be blocken and 7 cases were be dragged.
Results::Three patients with iatrogenic peripheral nerve injury through traditional treatment obtained functional recover.Wrist and finger extension functional rehabilitation were used in 4 cases.Microsurgical technique were used in 32 cases,and the rate of excellent and good was 87%.
Conclusion:Surgical doctors must be familiar with dissection,using tourniquet correctly,avoiding rude operation.We would actively adopt various remedies if iatrogenic peripheral nerve injury had been occurred. |
| KEYWORDS:Iatrogenic peripheral nerve injury Recovery of function Microsurgery |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张祖根,张磊冰,田晓滨,邱冰,李波,赵筑川,韩伟,周焯家.医源性周围神经损伤分析[J].中国骨伤,2005,18(1):6~7 |
| 英文格式: | ZHANG Zu-gen,ZHANG Lei-bing,TIAN Xiao-bin,QIU Bing,LI Bo,ZHAO Zhu-chuan,HAN Wei,ZHOU Zhuo-jia.Analysis of iatrogenic peripheral nerve injury[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(1):6~7 |
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