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| 題 名 | 婦科手術引發之骨盆腔神經傷害=Pelvic Neuropathy after Gynecologic Operation |
|---|---|
| 作 者 | 李耀泰; 陳福民; 郭宗正; | 書刊名 | Medical Journal of South Taiwan |
| 卷 期 | 6:2 2010.12[民99.12] |
| 頁 次 | 頁125-129 |
| 分類號 | 417.1 |
| 關鍵詞 | 婦科手術; 神經病變; 骨盆腔神經; Gynecologic surgery; Neuropathy; Pelvic nerve; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 婦科手術造成的神經外傷性病變並不常見,也多被忽略,其所產生的術後短時間或持久性疼痛,則常令患者及醫師困擾。神經纖維受傷可經由手術中壓逼、伸展、結紮、或切斷等引起。根據報告,各類型的婦科手術,包括腹部、陰道、或腹腔鏡等皆會產生神經病變。如能清楚股神經的解剖位置,注意牽拉器的側翼位置,使用最短的側翼,牽拉器所引起的神經受傷是可以預防的。對截石位的婦科手術,盡量縮短手術時間,也可減少下肢神經病變的發生率。 |
| 英文摘要 | Nerve injury after pelvic surgery are uncommon, often transient, but can be very distressing to the patient and to the surgeon. In some individuals, they result from a direct injury while attempting to resect a malignant mass deep in the pelvis or control troublesome bleeding. However, most often the nerve injury is due to pressure on the femoral nerve from the deep blade of a self-retaining retractor or a compression or stretch injury from the lithotomy position in a patient undergoing vaginal surgery. This retractor injury is preventable given a through understanding of femoral nerve anatomy and repeated evaluation of blade placement during operative procedures. Retractor pressure should be minimized and the shortest blade used to permit adequate exposure. In addition, a reduction of duration of time in lithotomy positions may reduce the risk of lower extremity neuropathies. |
本系統中英文摘要資訊取自各篇刊載內容。