注射后坐骨神经损伤的临床、电生理及预后研究：外周医疗服务中肢体缺失的一个可避免原因。
Clinical, electrophysiological, and prognostic study of postinjection sciatic nerve injury: An avoidable cause of loss of limb in the peripheral medical service.
作者信息
Maqbool Wani, Sheikh Saleem, Ahmed Asrar
机构信息
Department of Neurology, S. K. Institute of Medical Sciences, Soura, J & K, India.
出版信息
Ann Indian Acad Neurol. 2009 Apr;12(2):116-9. doi: 10.4103/0972-2327.53081.
BACKGROUND
Post injection sciatic nerve injury is a common cause of sciatic nerve mononeuropathy in the developing world largely due to inadequate health care facilites in the rural regions.
OBJECTIVE
The study was conducted to analyse the pattern of this nerve lesion in clinical and electrophysiological parameters and also to study the outcome in a conservatively treated cohort.
MATERIALS AND METHODS
One hundred and six patients who underwent evaluation at our laboratory from 2000 to 2006 for post injection sciatic neuropathy formed the study population. Twenty two of these were followed up (mean 6.6 months) for the outcome.
RESULTS
In the cases with full data, common peroneal division of the sciatic nerve was affected alone or predominantly. On follow up, 72% cases showed little or partial recovery. Thirty two percent patients had residual trophic changes and causalgia at their last visit.
CONCLUSION
The majority of cases of postinjection sciatic nerve injury have poor prognosis on conservative treatment.
背景
注射后坐骨神经损伤是发展中国家坐骨神经单神经病的常见原因，主要是由于农村地区医疗保健设施不足。
目的
本研究旨在分析该神经损伤在临床和电生理参数方面的模式，并研究保守治疗队列的结果。
材料与方法
2000年至2006年在我们实验室接受注射后坐骨神经病变评估的106例患者构成了研究人群。其中22例进行了随访（平均6.6个月）以观察结果。
结果
在有完整数据的病例中，坐骨神经的腓总神经分支单独或主要受到影响。随访时，72%的病例显示几乎没有或部分恢复。32%的患者在最后一次就诊时有残留的营养改变和灼性神经痛。
结论
大多数注射后坐骨神经损伤病例保守治疗预后较差。
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