Latrogenic injuries of radial nerve:A report of 36 cases

YU Xuedong; et al

doi:10.13406/j.cnki.cyxb.2003.04.039

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Latrogenic injuries of radial nerve:A report of 36 cases

更新时间：2024-01-17

- Latrogenic injuries of radial nerve:A report of 36 cases
- Journal of Chongqing Medical University Issue 4, Pages: 535-536(2003)
- 作者机构：
  
  1. 重庆医科大学临床学院骨科
  2. 重庆医科大学临床学院骨科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.04.039
  CLC： R651.3
- Published：2003，
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[1]余学东,蒋电明,安洪.医源性桡神经损伤36例报告[J].重庆医科大学学报,2003(04):535-536.

YU Xuedong, et al. Latrogenic injuries of radial nerve:A report of 36 cases. [J]. Journal of Chongqing Medical University (4):535-536(2003)
[1]余学东,蒋电明,安洪.医源性桡神经损伤36例报告[J].重庆医科大学学报,2003(04):535-536. DOI： 10.13406/j.cnki.cyxb.2003.04.039.

YU Xuedong, et al. Latrogenic injuries of radial nerve:A report of 36 cases. [J]. Journal of Chongqing Medical University (4):535-536(2003) DOI： 10.13406/j.cnki.cyxb.2003.04.039.

摘要

目的 :探讨医源性桡神经损伤的原因及防治措施。方法 :从 1987年 3月到 2 0 0 0年 3月共收治医源性桡神经损伤 36例

其中 33例是手术致伤

3例是多次手法复位致伤。手术治疗 32例

非手术治疗 4例

行神经外膜缝合或外膜一束膜缝合修复 8例

神经松解 19例

肌腱转位 8例

自行恢复 3例。结果 :2 7例病例随访 1～ 6年

按张咸中标准评价

优 2 0例

良 4例

差 3例。结论 :加强医生的责任心

熟悉桡神经的有关局部解剖和细致的手术操作

医源性桡神经损伤是完全可以避免的。一旦发生

早期诊治可以取得满意的效果。

Abstract

Objective:To investigate the causes

the prevention and the treatment of iatrogenic radial nerve injuries.Methods: From March 1987 to March 2000

the authors treated 36 cases of iatrogenic radial nerve injuries .Of the 36 cases

33 cases occurred after the orthopaedic operation

3 cases occurred after the manipulative reduction. 32 cases were treated surgically

and the other 4 cases were treated non-surgically. 8 cases were repaired by epineurial suturing or by epi-fascicular suturing to connect the severed ends of the nerves. 19 cases were treated with neurolysis operation

8 cases with tendon transfer and 3 cases with palliative treatment. Results: 27 cases were followed up for 1 year to 6 years. The curative effect was assessed according to Zhang Xianzhong"s norm. The recovery of 20 cases were excellent

4 cases were good

3 cases were poor.Conclusion:The iatrogenic radial nerve injury can be avoided if the surgeon take a high responsibility and grasp a precise knowledge of pertinent anatomy. At the same time more attention should be paid in operation. Once incurred

the damage can be minimized if it is recognised and treated earlier.

关键词

医源性损伤桡神经手术

Keywords

iatrogenic injuryRadial nerveoperation

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