Hakoiwa Saori, Hoshi Takuo, Tanaka Makoto, Mishima Hajime
Department of Anesthesiology, University of Tsukuba Hospital, Tsukuba 305-8576.
Masui. 2011 Jun;60(6):721-3.
We describe a case of bilateral obturator neuropathy after caesarean section. A 33-year-old woman expecting her first baby had rotational acetabular osteotomy 8 and 9 years ago. After the surgery, she complained of weakness in the lower limbs and diagnosed as bilateral obturator neuropathy by orthopedist. Rotational acetabular osteotomy is known as one of the causes of narrow mid-pelvis diameter and it raises probability of caesarean section. Contracted pelvis may cause obturator neuropathy after delivery and we need to exclude complications by epidural blockade.
我们描述了一例剖宫产术后双侧闭孔神经病变的病例。一名33岁的初产妇在8年和9年前接受了髋臼旋转截骨术。术后，她抱怨下肢无力，经骨科医生诊断为双侧闭孔神经病变。髋臼旋转截骨术是导致中骨盆直径变窄的原因之一，会增加剖宫产的概率。骨盆狭窄可能导致产后闭孔神经病变，我们需要通过硬膜外阻滞排除并发症。
