CAJ | 학술논문

目的回顾医源性周围神经损伤患者的临床治疗效果,总结经验和教训. 方法对2004年-2010年医源性周围神经损伤患者72例进行回顾性分析,治疗方法包括保守治疗24例,手术松解21例,神经吻合27例. 结果 72例患者均获得随访3～24个月,平均10个月.神经恢复标准按中华医学会手外科学会上肢部分功能评定试用标准:优24例,良21例,可16例,差11例,优良率为64％. 结论加强医源性周围神经损伤的风险意识,特别注意近几年开展的骨折复位微创治疗有增加神经损伤的风险.对于有可能出现医源性损伤的患者,一定要在术前制订详细的手术方案,争取Ⅰ期修复.
목적 회고의원성주위신경손상환자적림상치료효과,총결경험화교훈. 방법 대2004년-2010년의원성주위신경손상환자72례진행회고성분석,치료방법포괄보수치료24례,수술송해21례,신경문합27례. 결과 72례환자균획득수방3～24개월,평균10개월.신경회복표준안중화의학회수외과학회상지부분공능평정시용표준:우24례,량21례,가16례,차11례,우량솔위64％. 결론 가강의원성주위신경손상적풍험의식,특별주의근궤년개전적골절복위미창치료유증가신경손상적풍험.대우유가능출현의원성손상적환자,일정요재술전제정상세적수술방안,쟁취Ⅰ기수복.
Objective To retrospectively analyze the clinical outcome of patients with iatrogenic peripheral nerve injury so as to summarize the experiences and lessons. Methods A retrospective study was performed on 72 patients with iatrogenic peripheral nerve injury treated in our hospital from 2004 to 2010.Therapy methods included conservative treatment in 24 patients,surgical release in 21 and nerve anastomosis in 27. Results All the patients were followed up for average 10 months ( range,3-24months).The neurological recovery was excellent in 24 patients,good in 21,fair in 16 and poor in 11,with excellent rate of 64％,according to the trial standard of upper limb functional assessment established by Chinese Medical Society of Hand Surgery. Conclusions Risk awareness should be strengthened on the iatrogenic peripheral nerve injury,especially the minimally invasive treatment of fractures in recent years,which has increased the risk of nerve injury.For patients who may be presented with iatrogenic injury,we should develop a detailed preoperative surgical plan for early one stage treatment as possible.