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闭孔神经损伤的手术治疗。

Surgical management of obturator nerve lesions.

机构信息

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas 77030, USA.

出版信息

Neurosurgery. 2009 Oct;65(4 Suppl):A24-8. doi: 10.1227/01.NEU.0000335652.61676.CC.

Abstract

OBJECTIVE

Obturator neuropathy is a rare condition that may result from orthopedic, gynecological, or urological procedures or injuries. These pathologies are amenable to surgical intervention, and an accurate physical examination and electromyography are necessary before treatment.

METHODS

Six patients with obturator nerve lesions underwent surgical exploration and decompression or primary repair. Their charts were retrospectively reviewed, and the electromyographic, surgical, and follow-up data were recorded.

RESULTS

Postoperatively, all patients reported improved symptoms in the form of pain relief, numbness resolution, or improved adductor muscle strength.

CONCLUSION

Obturator nerve injury is a treatable condition with minimal surgical complications and morbidities.

摘要

目的

闭孔神经病变是一种罕见的病症,可能由骨科、妇科或泌尿科的手术或损伤引起。这些病变可通过手术干预来治疗,在治疗前需要进行准确的体格检查和肌电图检查。

方法

6 名患有闭孔神经病变的患者接受了手术探查和减压或一期修复。回顾性分析了他们的病历,记录了肌电图、手术和随访数据。

结果

术后,所有患者均报告疼痛缓解、麻木减轻或内收肌力量改善等症状改善。

结论

闭孔神经损伤是一种可治疗的疾病,手术并发症和发病率均较低。

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