医源性神经损伤及显微外科修复

目的：阐述医源性神经损伤的伤因、治疗和预防要点。方法：分析１９８２—１９９５年间，收治的１８例医源性神经损伤的病史及随访记录。结果：伤因分为手术误伤，石膏或小夹板压迫，止血带伤和药物性损伤４类。１２例采用神经松解，神经吻合，神经移植等手术治疗。疗效优者６例，良３例，优良率为７５％（９／１２）。６例采用保守治疗而愈。结论：医务工作者只要具有高度的责任感、严谨的工作作风和细致的操作技术，医源性神经损伤是可以避免的。

Iatrogenic peripheral nerve injuries and microsurgical repair

To investigate the cause treatment and prevention of iatrogenic nerve injuries, 18 patients with iatrogenic nerve injuries were treated from 1982 to 1995. The follow-up histories were reviewed. The causes were surgical injury, cast or splint compression, tourniquet injury and injection injury. Neurolysis, anastomosis or nerve grafting were used in 12 cases. The outcome was excellent in 6 cases, good in 3 cases. The excellent rate was 75%(9/12). Conservative treatment was used in 6 cases and recovery was achieved. Iatrogenic injuries could be avoided should the medical workers have high responsibility and careful manipulation.