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全髋关节置换术后臀神经损伤。一项前瞻性分析。

Gluteal nerve damage following total hip arthroplasty. A prospective analysis.

作者信息

Abitbol J J, Gendron D, Laurin C A, Beaulieu M A

机构信息

Division of Orthopaedics and Rehabilitation, University of California, San Diego 92103.

出版信息

J Arthroplasty. 1990 Dec;5(4):319-22. doi: 10.1016/s0883-5403(08)80090-3.

DOI:10.1016/s0883-5403(08)80090-3
PMID:2290087
Abstract

Injuries to the peroneal or tobial divisions of the sciatic nerve occur in approximately 0.7-7.6% of patients undergoing total hip arthroplasty. No prior studies have investigated the incidence of injury to the superior or inferior gluteal nerves during hip surgery. This study evaluates the incidence of injury to the superior and inferior gluteal nerves in 55 patients undergoing total hip arthroplasty using a newly devised EMG scoring system. Subclinical gluteal nerve injury was documented in over 77% of patients, whether a posterior or a lateral approach to the hip was used.

摘要

在接受全髋关节置换术的患者中,坐骨神经腓总支或胫神经分支损伤的发生率约为0.7%-7.6%。此前尚无研究调查髋关节手术期间臀上神经或臀下神经损伤的发生率。本研究采用一种新设计的肌电图评分系统,评估了55例接受全髋关节置换术患者的臀上神经和臀下神经损伤发生率。无论采用髋关节后入路还是侧入路,超过77%的患者记录到了亚临床臀神经损伤。

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