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全髋关节置换术并发血管和神经损伤。

Vessel and nerve injuries complicating total hip arthroplasty.

作者信息

Ovrum E, Dahl H K

出版信息

Arch Orthop Trauma Surg (1978). 1979;95(4):267-9. doi: 10.1007/BF00389697.

Abstract

Arterial and neural damage following total hip replacement is not common. Three cases are reported. The first patient had an isolated femoral nerve damage. The second case developed a false aneurysm arising from the external iliac artery 2 months after hip surgery and the third patient sustained a tear of the external iliac artery during the operation. The nerve and vessel injuries were caused by retractors. In both patients with arterial damages a transitory femoral nerve involvement occurred. The prognosis was good in all patients. Preventive measures are discussed.

摘要

全髋关节置换术后发生动脉和神经损伤并不常见。本文报告了3例病例。第一例患者出现孤立性股神经损伤。第二例在髋关节手术后2个月发生了源于髂外动脉的假性动脉瘤,第三例患者在手术过程中发生了髂外动脉撕裂。神经和血管损伤均由牵开器所致。在两例动脉损伤患者中均出现了暂时性股神经受累。所有患者预后良好。文中讨论了预防措施。

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