Khan R, Birch R
Royal National Orthopaedic Hospital, Stanmore, Middlesex, England.
J Bone Joint Surg Br. 2001 Nov;83(8):1145-8. doi: 10.1302/0301-620x.83b8.12251.
This is a retrospective study of 612 cases of iatropathic injury to peripheral nerves seen in one tertiary referral unit between 1991 and 1998. A total of 291 patients was subsequently operated on to explore the nerve lesion. The most common presenting symptom was pain, which often masked underlying loss of function. The delay in diagnosis was up to 40 months. The findings at operation were analysed according to the type of nerve damaged, the nature of the injury and the referring specialty. Some of the more common causal operations and procedures are discussed. Preventive measures are listed, and early diagnosis and treatment are recommended.
这是一项对1991年至1998年间在某三级转诊单位所见的612例医源性周围神经损伤病例的回顾性研究。共有291例患者随后接受了手术以探查神经损伤情况。最常见的首发症状是疼痛，这常常掩盖了潜在的功能丧失。诊断延迟长达40个月。根据受损神经的类型、损伤的性质和转诊专科对手术结果进行了分析。讨论了一些较常见的致伤手术和操作。列出了预防措施，并建议进行早期诊断和治疗。
