Vasilev S A
Department of Gynecology, City of Hope National Medical Center, Duarte, California 91010.
Gynecol Oncol. 1994 May;53(2):152-5. doi: 10.1006/gyno.1994.1108.
Obturator nerve injury in obstetrics/gynecology and gynecologic oncology is thought to be infrequent. The reported consequences of this injury vary in severity and management options have not been well described. The functional anatomy, dual adductor muscle innervation, and inconstant accessory obturator nerve presence help explain variable outcome following neurotmesis. Intraoperative management centers around epineurial repair with surgical loupe magnification. With the assistance of postoperative physiotherapy this approach leads to satisfactory results.
妇产科及妇科肿瘤学中闭孔神经损伤被认为较为罕见。该损伤报告的后果严重程度各异，且治疗选择尚未得到充分描述。其功能解剖、内收肌双重神经支配以及闭孔副神经的存在不恒定，有助于解释神经切断术后的不同结果。术中管理以手术放大镜放大下的神经外膜修复为核心。在术后物理治疗的辅助下，这种方法可取得满意效果。
