摘要
目的 分析 48例腕部割裂伤 ,发生神经合并伤漏诊、漏接及神经肌腱错接的原因。方法 经手术探查证实 ,正中神经伤 2 9例 ,尺神经 11例 ,正中神经及尺神经同时伤 5例 ,桡神经浅支 3例。其中神经漏接 19例 ,错接 2 9例 ,均行 2期修复术。结果 经 1年 9个月随访 ,患者手部神经功能恢复优良率达 6 9%。结论 基层医院的医生术前术中应重视对腕部切割伤的检查 ,以避免漏诊错接 ,术中可采用显微外科技术 ,力争早期良好地修复神经损伤。
Objective To investigate the causes of misdiagnoses and mismangements of 48 cases of nerve injuries following wrist-cutting.Methods 29 cases of medium nerve injury,11 ulnar nerve injury,5 ulnar plus medium nerve injury,3 radial nerve injury were validated during operations,of which 19 cases of lost connections and 29 false connections were found.Phase Ⅱ repairing operations were carried out again for the patients.Results After follow-ups of 21 months,wefound 69% patients' function of the injured wrist nerves was restored successfully.Conclusion Serious examination should be advocated in junior hospitals in order to avoid the missed and false connections of nerve injuries following wristcutting.In addition,the microsurgical technique could be used during operations to quicken the recovery of the injuried nerves.
出处
《中国误诊学杂志》
CAS
2002年第1期43-44,共2页
Chinese Journal of Misdiagnostics
关键词
腕损伤
诊断
正中神经损伤
尺神经损伤
桡神经损伤
误诊
Wrist injuries/diagnosis
Median nerve/injuries
Ulnar nerve/injuries
Radial nerve/injuries
Diagnostic errors
Treatment failure
