选择性颈部肌肉、神经切断术治疗痉挛性斜颈  

Selective denervation and resection of cervical muscles for spasmodic torticollis

作　　者：周南开[1] 周波[1] 车善理[1] 邓宗锵[1] 

机构地区：[1]重庆市中山医院神经外科,400013

出　　处：《中国医药指南》2008年第24期29-,31,共2页Guide of China Medicine

摘　　要：目的了解选择性颈部肌肉、神经切断(或切除)术治疗痉挛性斜颈(spasmodic torticollis,ST)的临床效果和并发症的防治。方法回顾性分析本组治疗的25例痉挛性斜颈患者的资料,术前根据斜颈类型、CT/MRI、肌电图检查制定个体化的手术方案,采用两联或三联术治疗。结果本组痊愈14例(56%),显效8例(32%),进步3例(12%);伤口皮下积液3例,枕颈部皮肤麻木感8例,颈部支撑乏力2例,无死亡病例。结论选择性颈部肌肉、神经切断术治疗痉挛性斜颈安全有效,但是手术不能过度以防颈部支撑乏力。Objective To evaluate clinical effects and complications of selective denervations and resection of cervical muscles for spasmodic torticollis(ST).Methods Retrospective analysis 25 cases of patients with ST.Based on torticollis type,CT/MRI,electromyogram, setting individualization operative projection,employing double or three-combined operations.Results Be cured 14 cases (56%),effective 8 cases(32%),improved 3 cases(12%);subcutaneous hydrops 3 cases,the occipital and cervical skin numbness 8 cases,the neck supporting fatigue 2 cases,no death.Conclusion Selective denervation and resection of cervical muscles for ST was safe and effective,but it should be not over-operation to prevent neck supporting fatigue after operation.

关 键 词：痉挛性斜颈(ST) 选择性颈部肌肉切断术 去神经术 

分 类 号：R687.2[医药卫生—骨科学]