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全髋关节置换术后神经损伤的手术治疗作用。

The role of surgery in postoperative nerve injuries following total hip replacement.

机构信息

Division of Acute Interventional Perioperative Pain and Regional Anesthesia, Department of Anesthesiology, University of Pittsburgh Medical Center, UPMC Presbyterian-Shadyside Hospitals, Pittsburgh, PA 15213, USA.

出版信息

J Clin Anesth. 2010 Jun;22(4):285-93. doi: 10.1016/j.jclinane.2009.10.006.

DOI:10.1016/j.jclinane.2009.10.006
PMID:20522361
Abstract

Although postoperative nerve injury is infrequent in patients undergoing joint replacement, it is extremely distressing for the patient, surgeon, and anesthesiologist. The nature of nerve injury is often closely related to the type of surgery; this review details the potential surgical causes of nerve injuries following total hip arthroplasty. The current orthopedic literature (1943-2008) was reviewed to help anesthesiologists better understand the pathophysiology of surgery-related postoperative nerve injuries, including the relationship with hip joint anatomy and the surgical techniques.

摘要

尽管关节置换术后神经损伤较为少见,但它会给患者、外科医生和麻醉师带来极大的痛苦。神经损伤的性质通常与手术类型密切相关;本文详细介绍了全髋关节置换术后神经损伤的潜在手术原因。回顾了当前的骨科文献(1943-2008 年),以帮助麻醉师更好地理解与手术相关的术后神经损伤的病理生理学,包括与髋关节解剖和手术技术的关系。

相似文献

1
The role of surgery in postoperative nerve injuries following total hip replacement.全髋关节置换术后神经损伤的手术治疗作用。
J Clin Anesth. 2010 Jun;22(4):285-93. doi: 10.1016/j.jclinane.2009.10.006.
2
Neurologic injuries after total hip arthroplasty.全髋关节置换术后的神经损伤
Am J Orthop (Belle Mead NJ). 2008 Apr;37(4):191-7.
3
Neurologic injury in the upper extremity after total hip arthroplasty.全髋关节置换术后上肢神经损伤
Clin Orthop Relat Res. 1997 Dec(345):181-6.
4
Neural and vascular injury in total hip arthroplasty.全髋关节置换术中的神经和血管损伤。
Orthop Clin North Am. 1992 Apr;23(2):219-35.
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[Nerve injuries in total hip arthroplasty--prophylactic strategies--quality assurance and risk management in orthopaedic and trauma surgery].[全髋关节置换术中的神经损伤——预防策略——骨科与创伤外科的质量保证和风险管理]
Z Orthop Ihre Grenzgeb. 2003 May-Jun;141(3):289-95. doi: 10.1055/s-2003-40089.
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[Nerve injuries after computer-assisted hip replacement: case series with 29 patients].计算机辅助髋关节置换术后的神经损伤:29例患者的病例系列
Z Orthop Ihre Grenzgeb. 2005 Jul-Aug;143(4):399-402. doi: 10.1055/s-2005-836749.
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Avoidance and management of neurovascular injuries in total hip arthroplasty.全髋关节置换术中神经血管损伤的预防与处理
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Surgical treatment of obturator nerve palsy resulting from extrapelvic extrusion of cement during total hip arthroplasty.全髋关节置换术中骨水泥盆腔外挤出导致闭孔神经麻痹的手术治疗。
J Arthroplasty. 2001 Jun;16(4):515-7. doi: 10.1054/arth.2001.22395.
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引用本文的文献

1
The role of retraction in direct nerve injury in total hip replacement: an anatomical study.髋关节置换术中直接神经损伤中牵开的作用:解剖学研究。
Bone Joint Res. 2014 Jun;3(6):212-6. doi: 10.1302/2046-3758.36.2000255.
2
[Blood vessel and nerve damage in total hip arthroplasty].[全髋关节置换术中的血管和神经损伤]
Orthopade. 2014 Jan;43(1):64-9. doi: 10.1007/s00132-013-2126-9.
3
[Lower limb paresis after total hip arthroplasty. A rare differential diagnosis].[全髋关节置换术后下肢轻瘫。一种罕见的鉴别诊断]
Orthopade. 2013 Oct;42(10):874-8. doi: 10.1007/s00132-013-2172-3.
4
[Avoidance, diagnostics and therapy of nerve lesions after total hip arthroplasty].[全髋关节置换术后神经损伤的预防、诊断与治疗]
Orthopade. 2011 Jun;40(6):491-9. doi: 10.1007/s00132-011-1758-x.