Zimmermann Matthew S, Abzug Joshua M, Chang James, Stern Peter J, Osterman A Lee
Hand Fellow, The Philadelphia Hand Center, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Instr Course Lect. 2014;63:105-11.
Iatrogenic nerve injuries frequently occur during procedures around the hand and wrist, although they are not always recognized at the time of injury or in the immediate postoperative period. Because preventing injuries is of paramount importance, extensive knowledge of the anatomy of the at-risk nerves is critical. Best results occur after immediate repair because a substantial delay before secondary surgery diminishes the chances for recovery from motor or sensory nerve dysfunction and relief from pain. It is helpful to review iatrogenic nerve injuries associated with common hand surgical procedures.
医源性神经损伤经常发生在手和腕部周围的手术过程中,尽管在损伤时或术后即刻并不总是能被识别出来。由于预防损伤至关重要,因此深入了解易受损神经的解剖结构至关重要。立即修复后效果最佳,因为二次手术前的长时间延迟会降低运动或感觉神经功能障碍恢复以及疼痛缓解的机会。回顾与常见手部外科手术相关的医源性神经损伤是很有帮助的。