医源性周围神经损伤的原因和治疗

目的:探讨医源性周围神经损伤的原因与防治措施。方法:总结分析7年间收治的39例医源性神经损伤发生的原因以及治疗措施,并评定治疗效果。结果:神经损伤的常见原因为手术误伤、牵拉、压迫伤、注射性损伤等。17例保守治疗,22例手术治疗,疗效较好,优良率84.2%。结论:医源性神经损伤多由术中操作不当导致,加强责任感,具有坚实的解剖知识和熟练、细致的操作是预防医源性神经损伤的关键。神经损伤后,根据神经损伤的类型,及时积极处理,可收到良好的治疗效果。

Cause and treatment for iatrogenic injuries of peripheral nerve

Objective:To explore the causes,prevention and management for iatrogenic peripheral nerve injuries.(Methods: 39) cases with iatrogenic nerve injuries treated from Oct 1997 to Oct,2004 were included in this group,different causes and management were summarizedand the curative effect was assessed.Results:Surgical injury,traction injury,compression injury,and injection injury were the common causes for iatrogenic nerve injury.Conservative treatment was applied in 17 cases,neurolysis,anastomosis or nerve grafting was applied in 22 cases.Curative effect was satisfactory,the excellent and good rate was 84.2%.Conclusion:Surgical injury is the main cause of iatrogenic nerve injury.It is believed that high responsibility,mastering the anatomic knowledge,careful and expert manipulation is crucial to prevent iatrogenic peripheral nerve injury.Satisfactory curative effect could be achieved if the injuried nerve were treated timely by appropriate method according to the injured type.