Wrightington Hospital, Wigan, UK.
Ann R Coll Surg Engl. 2023 May;105(5):390-393. doi: 10.1308/rcsann.2021.0300. Epub 2022 Feb 17.
This is a retrospective study of 100 consecutive patients with iatrogenic nerve injuries, as seen in a tertiary referral centre over a six-year period.
Patients who presented with new-onset nerve palsy involving a motor or mixed motor/sensory nerve following an operation were studied.
There were 44 male and 56 female patients with a mean age of 53 years (range 5-87 years). The median duration from the index procedures to referral was six months (range 0 days to 12 years). Approximately one third of referrals were made over 12 months since the index procedures. Twenty patients recovered spontaneously and were managed expectantly. Eighty patients underwent secondary interventions.
There remains a significant delay in referring postoperative nerve palsy to a nerve specialist. The majority of these cases will warrant secondary reconstructive surgery and delay in treatment may have a negative effect on the ultimate outcomes.
这是一项回顾性研究，纳入了在一家三级转诊中心在六年期间诊治的 100 例医源性神经损伤患者。
研究对象为在手术后新发累及运动神经或运动感觉混合神经的神经麻痹患者。
共纳入 44 例男性和 56 例女性患者，平均年龄 53 岁（5-87 岁）。从手术到转诊的中位时间为 6 个月（0 天至 12 年）。大约三分之一的转诊发生在手术之后的 12 个月以上。20 例患者自发恢复，采取期待治疗。80 例患者接受了二次干预。
术后神经麻痹患者向神经科专家转诊仍存在显著延迟。这些患者中的大多数需要进行二次重建手术，治疗的延迟可能对最终结果产生负面影响。
