Räber G, Schneider H P
Zentrum für Frauenheilkunde des Westfälischen Wilhelms-Universität Münster.
Zentralbl Gynakol. 1993;115(6):273-8.
Paresis of the femoral nerve following vaginal hysterectomy is a rare event, only 21 cases have been reported in the literature. This lesion is caused by pressure of the femoral nerve through the ligamentum inguinale during extreme flection and abduction of the thigh when vaginal surgery is done in lithotomy position. To avoid this femoral nerve lesion during vaginal hysterectomy the inclination angle between thigh and body should not be smaller than 45 degrees and the abduction angle should not exceed 45 degrees in relation to a vertical midline. The correct positioning of the patients has to be checked and documented by the gynecologist performing the operation. The operating gynecologist is responsible for injuries and damages by incorrect positioning of the patient.
阴道子宫切除术后股神经麻痹是一种罕见事件，文献中仅报道过21例。这种损伤是在截石位进行阴道手术时，大腿极度屈曲和外展时，股神经受到腹股沟韧带压迫所致。为避免阴道子宫切除术中出现这种股神经损伤，大腿与身体之间的倾斜角度不应小于45度，相对于身体垂直中线的外展角度不应超过45度。实施手术的妇科医生必须检查并记录患者的正确体位。手术妇科医生应对患者体位不正确造成的损伤负责。
