摘要
目的阐述医源性桡神经损伤的伤因、治疗和预防措施。方法分析1991年～2003年间收治的46例医源性桡神经损伤的病例。结果伤因分为上肢手术误伤,肱骨干和桡骨上端闭合性骨折复位手法不当,头静脉穿刺致桡神经浅支损伤。本组21例保守治疗,22例手术治疗,3例行肌腱转位功能重建。结论手术误伤是医源性桡神经损伤的首要原因;临床医生丰富的解剖知识和细致、轻柔的操作是预防医源性桡神经损伤的关键。
Objective To expatiate the causes, the prevention and treatment of iatrogenic radial nerve injuries.Methods Since August 1991 to December 2003,we analyzed 46 cases with iatrogenic radial nerve injuries.Results Of the 46 cases, the causes obtained the upper limbs operation of accidentally injury, the manipulative reduction in closed fracture of humeral shaft or radius and cephalic vein puncture injury.21 cases were treated non-surgically,and the other 22 cases reoperated by microscope,3 cases with tendon transfer to reconstruct function.Conclusion The operation of accidentally injury is the main cause of iatrogenic radical nerve injury.The key for prevention and treatment ofiatrogenic radial nerve injuries is that medical staff take a high responsibility and grasp a precise knowledge of pertinent anatomy, at the same time more attention and gently should be paid in operation.
出处
《实用手外科杂志》
2005年第2期79-80,共2页
Journal of Practical Hand Surgery
