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杰克逊手术台上脊柱手术后的股外侧皮神经痛

Meralgia Paresthetica After Spine Surgery on the Jackson Table.

作者信息

Agarwal Nitin, Mistry Jaydev B, Khandge Preeya V, Hansberry David R, Goldstein Ira M

机构信息

Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

出版信息

Clin Spine Surg. 2018 Mar;31(2):53-57. doi: 10.1097/BSD.0000000000000593.

Abstract

Meralgia paresthetica is a non-life-threatening neurological disorder characterized by numbness, tingling, and burning pain over the anterolateral thigh due to impingement of the lateral femoral cutaneous nerve. This disorder has been seen in patients with diabetes mellitus and obesity, but has also been observed in patients after procedures such as posterior spine surgery, iliac crest bone grafts, lumbar disk surgery, hernia repair, appendectomies, and pelvic osteotomies that ultimately lead to compression or damage to the lateral femoral cutaneous nerve. Overall, permanent sequelae of meralgia paresthetica are rare, however, some cases do require intervention.

摘要

股外侧皮神经痛是一种无生命危险的神经系统疾病,其特征为大腿前外侧出现麻木、刺痛和灼痛,这是由于股外侧皮神经受到压迫所致。这种疾病在糖尿病和肥胖患者中可见,但在诸如后路脊柱手术、髂嵴骨移植、腰椎间盘手术、疝气修补术、阑尾切除术和骨盆截骨术等手术后的患者中也有观察到,这些手术最终会导致股外侧皮神经受压或损伤。总体而言,股外侧皮神经痛的永久性后遗症很少见,然而,有些病例确实需要干预。

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