摘要
目的:为了提高治疗注射性坐骨神经损伤的疗效。方法:对12例注射性坐骨神经损伤的患儿采用显微神经束膜松解进行治疗。结果:其中9例得到随诊。神经损伤症状完全好转者4例,部分好转者4例,无明显好转者1例,有效率为89%。术中发现,病程3个月以内者神经束连续性存在,3个月以上者神经束瘢痕化逐渐加重。结论:注射性坐骨神经损伤经保守治疗1个月未见恢复者应及早手术松解,显微神经束膜松解是一种有效方法。
Objective:To get a better recovery of sciatic nerve injury caused by gluteal intra- muscular injection,microsurgical neurolysis was performed.Methords:Microsurgical neurolysis was performed on 12 cases of the sciatic nerve injury caused by gluteal intramuscular injection. Nine of them obtained a followed up.Results:Complete recovery was achieved in 4 cases,partial recovery in 4,and no improvement in 1,The effective rate was 89%.During the operation the de- natured nerve bundle was found in those cases with a caurse less than 3 months while the cicatrized tissue found in those over 3 months of injury.Conclusions:Neurolysis should be carried out as early as possible if l month's conservative treatment showing noneffective.Microsurgical neuroly- sis of perineurium is an effective method for sciatic nerve injury caused by gluteal intramuscular in- jection.
出处
《中华小儿外科杂志》
CSCD
1997年第2期103-104,共2页
Chinese Journal of Pediatric Surgery
