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相關文獻
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頁籤選單縮合
題名 | Iatrogenic Femoral Neuropathy Following Pelvic Surgery: A Rare and Often Overlooked Complication--Four Case Reports and Literature Review=骨盆腔手術後引起之醫源性股神經病變:罕見與可能被忽略的併發症、四例病例報告及文獻回顧 |
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作者 | 黃文詩; 林博彥; 葉重宏; 靳志堅; 謝清川; 王正儀; Huang, Wen-Shih; Lin, Paul Y.; Yeh, Chong-Hong; Chin, Chih-Chien; Hsieh, Ching-Chuan; Wang, Jeng-Yi; |
期刊 | 長庚醫學 |
出版日期 | 20070700、20070800 |
卷期 | 30:4 2007.07-08[民96.07-08] |
頁次 | 頁374-379 |
分類號 | 415.827 |
語文 | eng |
關鍵詞 | 神經病變; 股神經; 自動開張器; 骨盆腔手術; Neuropathy; Femoral nerve; Self-retaining retractor; Pelvic surgery; |
中文摘要 | 開腹手術後所引起之股神經病變其病因可為多發性。在此,我門舉出四例於本院接受大腸直腸手術後,併發之股神經病變。股神經病變所引發之症狀初始或許並不明顯,但最後終會造成下肢運動與感覺功能的異常。因此,若病患未適切陳述相關症狀,臨床醫師往往容易忽略此類併發症。適時地利用肌電圖檢查與神經傳導檢查,確立這四位病患術後股神經病變的診斷;並且在適切的復健治療後,他門均無因股神經病變所引起之任何相關性功能異常。由本院這四位病例報告,我們可歸納出:由於術中開腹自動 開張器的不當置放,可能是引起此術後併發症的主要原因,而非病患的性別、年齡、手術時間長短或身體質量指數所致。因此, 經由文獻的回顧,我門去探討有可能因術中開腹自動開張器的不當置放,而引起股神經病變其病理生理過程、診斷與治療方式。 經由對股神經其解剖位置與走向的全盤性瞭解與適當放置自動開張器,或許可避免發生術後股神經病變的併發症。 |
英文摘要 | Femoral neuropathy can result from diverse etiologies following abdominal surgery. We describe four cases of postoperative femoral neuropathy after proctological procedures that were carried out at our hospital. The related symptoms developed occultly but eventually impaired patient motor or sensory functions in the lower extremities. When the patient fails to address associated suffering, it is easy for clinicians to neglect this type of morbidity. All patients recovered from neuropathy following timely detection of the disease entity confirmed by electromyography and nerve conduction studies, followed by adequate rehabilitation management. We hypothesize that postoperative femoral neuropathy may be closely related to unsuitable applications of self-retaining retractors, rather than being associated with other factors, such as gender, age, surgery time or body mass index (BMI). Furthermore, we used a literature review to examine the pathophysiology, diagnoses and treatment modalities of femoral neuropathy resulting from inappropriate placement of self-retaining retractors. Based on a thorough comprehension of the femoral nerves anatomical course and meticulous placement of retractor blades, these types of iatrogenic complications may be prevented. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。