| 医源性桡神经损伤诊治的临床探讨 |
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| 引用本文： | 李志杰,高伟阳,闫合德,洪建军,陈星隆,李晓阳.医源性桡神经损伤诊治的临床探讨[J].实用手外科杂志,2004,18(4):202-203. |
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| 作者姓名： | 李志杰 高伟阳 闫合德 洪建军 陈星隆 李晓阳 |
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| 作者单位： | 温州医学院第二附属医院,手外科,浙江,温州,325027 |
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| 摘 要： | 目的探讨医源性桡神经损伤的病因和手术时机。方法分析1998年5月-2003年1月间收治的16例医源性桡神经损伤病例。结果损伤病因有手术误伤12例，压迫伤2例，手法复位损伤2例。10俐显微手术治疗，疗效优者6例，良者2例，可1例，差1例，优良率达80％；6例保守治疗恢复功能。结论手术误伤是医源性桡神经损伤的主要原因，显微外科治疗是挽救医源性桡神经损伤的有效手段，手术时机的选择是影响疗效的重要因素。
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| 关 键 词： | 医源性桡神经损伤 临床探讨 2003年1月 手术时机的选择 诊治 显微手术治疗 显微外科治疗 手术误伤 1998年 损伤病例 方法分析 损伤病因 手法复位 恢复功能 保守治疗 优良率 疗效 |
| 文章编号： | 1671-2722(2004)04-0202-02 |
| 修稿时间： | 2004年5月21日 |
Clinical investigation on the treatment of iatrogenic radial nerve injuries |
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| LI Zhi-jie,YAN He-de,GAO Wei-yang,HONG Jian-jun,CHEN Xing-long,LI Xiao-yang.Clinical investigation on the treatment of iatrogenic radial nerve injuries[J].Chinese Journal of Practical Hand Surgery,2004,18(4):202-203. |
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| Authors: | LI Zhi-jie YAN He-de GAO Wei-yang HONG Jian-jun CHEN Xing-long LI Xiao-yang |
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| Abstract: | Objective To investigate the causes and operation occasion of iatrogenic radial nerve injuries.Methods From May 1998 to Jan 2003,16 patients with iatrogenic nerve injuries were analysed.Results The causes were surgical injury in 12 cases,compression injury in 2 cases, manual reduction injury in 2 cases. Microsurgery was adopted in 10 cases, and conservative trentment was adopted in 6 cases. The outcome of microsurgery was excellent in 6 cases, good in 2 cases, may in 1 case, difference in 1 case. The excellent rate was 80(8/10). Conclusion The surgical injury is the main cause of iatrogenic injuries of radial nerve.Microsurgical remedy is effect method for iatrogenic injuries of radial nerve. The choice of operation occasion is important agent on treatment effect. |
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| Keywords: | Radial nerve Iatrogenic injuries Microsurgical repair |
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