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Surgical Treatment of Femoral Nerve Injuries

股神經受傷麻痺之外科治療

摘要


相對於其他周邊神經損傷,股神經麻痺是較不常見的傷害。其可依據解剖位置及手術方式分為腹膜後腔及大腿兩個不同受傷位置。 我們在此提出四個病例。他們受傷的機制各不同。四位患者皆接受重建手術。其術後解果俱佳。此顯示,股神經的重建是一項癒後不錯的手術。只要精確診斷及及早手術治療,通常可以達到不錯的結果。我們在此並詳述解剖結構及手術方式。

關鍵字

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並列摘要


Femoral nerve injury is relatively uncommon among peripheral nerve injuries. Depends upon the level of injury, it could be divided into two groups: retroperitoneal and thigh level injuries. Each group requires different surgical approaches. Here we present four cases of femoral nerve injuries. Three of them were thigh level injuries and one was a retroperitoneal injury. The etiologies were all different. All of them received surgical exploration, neurolysis, and reconstruction using nerve grafts. All of them have good results. Our series show that the femoral nerve has a good potential for recovery. With accurate diagnosis and early surgical treatment, the outcome is usually good. The surgical anatomy and technique are described and the literature reviewed.

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