Graesslin O, Elaerts M, Palot M, Bednarczyk L, Quereux C
Clinique Obstétricale et Gynécologique. Hôpital Maison Blanche.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(8):858-61.
We report two cases of maternal obstetrical paralysis by injuries to the sacral plexus (lumbosacral trunk). This nervous lesion is rare and occurs more often in young small primigravidae, carrying a large fetus, during a prolonged labor and a delivery requiring midforceps. The symptoms appear usually a few hours after delivery: paresthesias of the leg and the foot as well as weakness and possible footdrop (the paralysis may be mild or severe). The different mechanisms involved are inspected. The prognosis of this lesion is good, the patients recover usually within a period of three months. The treatment appears to be physiotherapy.
我们报告了两例因骶丛(腰骶干)损伤导致的产妇产科麻痹病例。这种神经损伤较为罕见,更多见于年轻的初产妇,她们怀有巨大胎儿,分娩过程延长且需要使用中位产钳助产。症状通常在分娩后数小时出现:腿部和足部感觉异常,以及无力,可能出现足下垂(麻痹程度可轻可重)。文中探讨了所涉及的不同机制。这种损伤的预后良好,患者通常在三个月内康复。治疗方法似乎是物理治疗。