我们报道2例髋臼双柱骨折患者，坐骨神经卡压于后柱部分产生症状。
We report 2 patients with sciatic nerve entrapment within the posterior column components of their associated both-column acetabular fractures.
如果骨折累及坐骨大孔或髋臼后柱则可引起坐骨神经损伤。
Sciatic nerve injuries may occur if the fracture involves the greater sciatic notch or the posterior acetabulum.
典型的坐骨神经失用症是由髋关节向后骨折脱位导致创伤性撞击或压迫引起。
Typically, sciatic neuropraxia occurs from traumatic impaction or compression due to posterior hip fracture-dislocation.
目的探讨髋臼骨折、髋关节脱位合并坐骨神经损伤的临床特点及发病机制。
Objective To investigate the clinical characteristics and the causative mechanism of acetabular fracture and dislocation of hip complicated with sciatic nerve injuries.
多发伤45例，合并股骨头、颈骨折和(或)股骨头后脱位者共36例，并发坐骨神经损伤者15例。
Multiple trauma was found in 45 cases, posterior hip dislocation combined femoral head or neck fractures in 36 cases and primary sciatic nerve injury in 15 cases.
坐骨大孔是骨盆血管共同的走行通道，此部位发生骨折出血风险极高。
The greater sciatic foramen is a common exit pathway form any pelvic vessels and any fracture involving this area incurs a higher risk of bleeding.
目的：探讨髋关节后脱位合并股骨头骨折及坐骨神经损伤的治疗方法及效果。
Objective: To approach the results of surgical treatment of posterior dislocation of hip joint combined with fracture of femoral head and the sciatic nerve injuries.
方法对33例患者行重建钢板、拉力螺钉固定髋臼骨折，同时行坐骨神经探查术，神经损伤者予以神经松解减压或束膜吻合。
Methods 33 patients were treated by operation, the fractures were reduced and fixed with reconstructive plates and screws, and the neurolysis about the sciatic nerve were performed.
伤后早期行髋臼骨折复位内固定术、坐骨神经探查松解术，将有利于坐骨神经损伤的恢复。
Early reduction of acetabular fracture and neurolysis is important for the recovery of function of the sciatic never.
方法回顾性分析本院收治的53例髋关节骨折脱位并坐骨神经损伤患者的病例资料，对比手术治疗与保守治疗的患者恢复情况。
Methods the clinical data of 53 patients admitted to our hospital with the above diseases were retrospectively analyzed, and their recovery by surgery and by conservative treatment was compared.
方法回顾性分析本院收治的53例髋关节骨折脱位并坐骨神经损伤患者的病例资料，对比手术治疗与保守治疗的患者恢复情况。
Methods the clinical data of 53 patients admitted to our hospital with the above diseases were retrospectively analyzed, and their recovery by surgery and by conservative treatment was compared.
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