摘要
Abstract
Objective:To explore the pathogenesis and the diagnosis and treatment of gluteal muscle injection sciatic nerve injury,to combine with specimens of 15 bodies article 30 sciatic nerve anatomic characteristics analysis of the causes of injury. Method:The clinical data of 23 patients by operation treatment in our hospital in October 1995 to October 2012 were retrospectively analyzed,15 cadaver specimens and 23 patients a total of 53 sciatic nerve after sciatic nerve passes through the inductive branch type piriformis,discussed the reason of iatrogenic sciatic nerve injury and anatomy. Result:(1)Among the 23 cases,1 weeks after the operation,4 cases were completely recovered,7 cases of the basic recovery;After 3 months follow-up:11 cases completely recovered,restored in 6 cases,partial recovery in 6 cases;6 months after operation:complete recovery in 16 cases,the basic recovery in 5 cases,partial recovery in 2 cases,the cure rate was 69.6%;(2)The 15 bodies 30 sciatic nerve the control group was less than the normal variation ratio variation ratio;23 cases of sciatic nerve injury,4 cases of typeⅠ,1 cases typeⅡ,14 cases of typeⅢ,4 cases of typeⅣ,variation ratio of 82.6%,and the damage for more children. Conclusion:Injection of sitting bone nerve injury not only with the injection operation is not standard caused by mechanical stimulation,drug toxicity,scar oppression,main and sciatic anatomical structure of neural and walking variability. Difference,hips and sciatic nerve in children with gluteal muscle developmental anatomy structure in variation is the material base of injection injury;surgical therapy is an effective method for the repair of sciatic nerve injury.关键词
肌肉注射/坐骨神经/医源性损伤/解剖/外科手术Key words
Intramuscular injection/Sciatic nerve/Iatrogenic injury/Anatomy/Surgical operation
