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肱骨内固定取出术桡神经医源性损伤的防治体会

Prevention of iatrogenic radial nerve injury in removal surgery for internal fixation of humeral

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【作者】 汪颖峰胡云渊毛玮

【Author】 WANG Ying-feng,HU Yun-yuan,MAO Wei(Department of Orthopedics,Huangshan People’s Hospital,Anhui 245000,China)

【机构】 安徽省黄山市人民医院骨科

【摘要】 目的探讨肱骨内固定取出术桡神经医源性损伤的防治。方法对25例肱骨内固定取出术患者临床资料进行回顾性分析。结果术中所见桡神经18例上移位于肌层,5例与瘢痕组织粘连,2例未寻及。术后23例患者功能恢复正常无神经损伤症状,2例患者出现桡神经不完全损伤。结论对肱骨内固定取出术时桡神经医源性损伤的防治十分重要。

【Abstract】 Aim To investigate prevention of iatrogenic radial nerve injury in removal surgery for internal fixation of humeral.Methods 25 cases of removal surgery for internal fixation of humeral were retrospectively analyzed.Results Intraoperative findings include 18 cases of radial nerve muscle displacement,5 cases with scar tissue adhesion,two cases not found.Postoperative function of 23 patients returned to normal without symptoms of nerve injury,two cases with incomplete radial nerve injury.Conclusion It is very important to prevent iatrogenic radial nerve injury in removal surgery for internal fixation of humeral.

  • 【文献出处】 安徽医药 ,Anhui Medical and Pharmaceutical Journal , 编辑部邮箱 ,2010年06期
  • 【分类号】R687.3
  • 【被引频次】1
  • 【下载频次】55
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