摘要
我们报道副神经损伤11例,9例为颈部手术误伤,2例为颈部外伤所致。临床表现为斜方肌麻痹和肩关节运动障碍。治疗可据情采用神经松解术或神经吻合术。强调早期治疗对获得满意效果的重要性。
From 1975 through 1988, 11 cases with accessory nerve injury were admitted to our hospital. The etiology in 9 of these cases was inadvertent surgical injury during operation. In the other 2 cases it was injured in accidents. The typical clinical manifestation of paralysis of the trapezius muscle and disorder of the shoulder movement were all seen in our cases. The diagnostic features, indications for operation, surgical technics and criteria for efficacy assessment were discussed. The necessity of early operation was stressed, and either neurorrhaphy or neurolysis should be done.
