杨远志,闫 芳

分娩相关的股神经损伤是一种非常罕见的妊娠并发症，主要指发生于产后的下肢感觉和/或运动功能受损，通常在产妇分娩后尝试下地行走时发现，通常能自愈，本文通过全面阐述分娩相关股神经损伤的的定义、病因、危险因素以及诊治方式，旨在为医护人员评估产妇风险、改善产妇预后提供指导。

分娩；股神经损伤；下肢无力

[1] 黄文雯,曲元.硬膜外分娩镇痛与分娩相关神经并发症[J].中华围医学杂志,2019,22(2):93-96. [2] Gibelli F, Ricci G, Sirignano A, et al. Iatrogenic femoral nerve injuries: Analysis of medico-legal issues through a scoping review approach. Ann Med Surg (Lond). 2021 Nov 10;72:103055. [3] Rosier C, Camdessanché JP. Neuropathy and pregnancy: An overview. Rev Neurol (Paris). 2021 Mar;177(3):220-224. [4] 于克,于寿勋.硬膜外麻醉下剖宫产手术后股神经损伤 10 例分析[J].实用医技杂志,2012,19(6):643-645. [5] Hochner-Celnikier D, Solnica A, Lavy Y. Second stage of labor and epidural use: a larger effect than previously suggested. Obstet Gynecol. 2014 Jun;123(6):1359-1360. [6] 付秋鹏,何银芳,高连峰等.不同分娩镇痛方式对妊娠结局影响的研究进展[J].中国全科医学,2020,23(10):1318-1322. [7] Wong CA. Nerve injuries after neuraxial anaesthesia and their medicolegal implications. Best Pract Res Clin Obstet Gynaecol. 2010 Jun;24(3):367-81. [8] Tournier A, Doremieux AC, Drumez E, Labreuche J, Cassim F, Bartolo S, Richart P, Garabedian C, Subtil D. Lower-limb neurologic deficit after vaginal delivery: a prospective observational study. Int J Obstet Anesth. 2020 Feb;41:35-38. [9] O'Neal MA, Chang LY, Salajegheh MK. Postpartum spinal cord, root, plexus and peripheral nerve injuries involving the lower extremities: a practical approach. Anesth Analg. 2015 Jan;120(1):141-148. [10] Ley L, Ikhouane M, Staiti G, Benhamou D. Complication neurologique après posture obstétricale "en tailleur" lors d'un travail sous analgésie péridurale Neurological complication after the "tailor posture" during labour with epidural analgesia]. Ann Fr Anesth Reanim. 2007 Jul-Aug;26(7-8):666-9. French. [11] Boutros N, Saba D, Trikamji B. Postpartum Sciatic Neuropathy After Uncomplicated Vaginal Delivery. Neurohospitalist.2023 Oct;13(4):429-433. [12] Richard A, Vellieux G, Abbou S, Benifla JL, Lozeron P, Kubis N. Good prognosis of postpartum lower limb sensorimotor deficit: a combined clinical, electrophysiological, and radiological follow-up. J Neurol. 2017 Mar;264(3):529-540. [13] 周军,林浩东. 股神经损伤的手术治疗进展. 中华显微外科杂志,2018,41(02):208-209.

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