盆腔淋巴结清扫术中闭孔神经损伤的治疗进展

doi:10.3969/j.issn.1006-5725.2024.15.024

Abstract

Abstract:

Obturator nerve injury （ONI） is a rare complication of pelvic lymph node dissection （PLND）. Once ONI occurs， ipsilateral lower limb sensory and motor dysfunction occurs， even affecting daily life. During PLND operation， different types of obturator nerve injuries occur due to various injury mechanisms， and different repair strategies are available according to different injury types. The fundamental repair strategy is to restore the anatomical structure of obturator nerve. Timely intraoperative surgical repair， postoperative adjuvant drug or physical therapy， and the prognosis is good. The purpose of this article is to summarize the treatment and prevention of different types of ONI during PLND for prostate cancer and bladder cancer， which has guiding significance for urologists to avoid and treat ONI during PLND.

Key words: obturator nerve injury, pelvic lymph node dissection, complications, treatment strategies

CLC Number:

R691.9

Lingmin HE,Yunhao ZHANG,Xu SUN,Aobing. MEI. Progress of treatment strategy after obturator nerve injury during pelvic lymph node dissection[J]. The Journal of Practical Medicine, 2024, 40(15): 2183-2186.

References 30

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Progress of treatment strategy after obturator nerve injury during pelvic lymph node dissection

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