[创伤患者周围神经损伤的研究]
[Study of peripheral nerve injury in trauma patients].
作者信息
Castillo-Galván Marina Lizeth, Martínez-Ruiz Fernando Maximiliano, de la Garza-Castro Oscar, Elizondo-Omaña Rodrigo Enrique, Guzmán-López Santos
机构信息
Departamento de Anatomía Humana, Grupo de Investigación en Anatomía, Monterrey, N.L.
Servicio de Cirugía Plástica, Hospital Universitario «Dr. José Eleuterio González», Monterrey, N.L.
出版信息
Gac Med Mex. 2014 Nov-Dec;150(6):527-32.
OBJECTIVE
To determine the prevalence, location, mechanism, and characteristics of peripheral nerve injury (PNI) in trauma patients.
MATERIAL AND METHODS
A retrospective study of medical records with PNI diagnosis secondary to trauma in the period of 2008-2012. The following information was collected: gender, age, occupation, anatomic location, affected nerve, mechanism of injury, degree of injury, costs, and hospitalization time.
RESULTS
The prevalence of PNI is 1.12%. The location of the nerve injury was 61% upper limb, the highest incidence was presented to the brachial plexus (35%) and ulnar nerve (18%). The mechanism of the lesion was sharp injury (19%).
DISCUSSION
The PNI are commonly present in people of a productive age. Neurotmesis was the most frequent degree of lesion. The patients stayed at hospital 2.51 ± 1.29 days and the average cost was 12,474.00 Mexican pesos ± 5,595.69 (US$ 1,007.54 ± 452.21) for one nerve injury.
目的
确定创伤患者周围神经损伤（PNI）的患病率、部位、机制及特征。
材料与方法
对2008年至2012年期间因创伤继发PNI诊断的病历进行回顾性研究。收集以下信息：性别、年龄、职业、解剖部位、受累神经、损伤机制、损伤程度、费用及住院时间。
结果
PNI的患病率为1.12%。神经损伤部位为上肢的占61%，其中臂丛神经（35%）和尺神经（18%）发病率最高。损伤机制为锐器伤（19%）。
讨论
PNI常见于劳动年龄人群。神经断裂是最常见的损伤程度。患者住院时间为2.51±1.29天，单根神经损伤的平均费用为12474.00墨西哥比索±5595.69（1007.54美元±452.21）。
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