选择性肌皮神经分支部分切断术治疗脑瘫性肘痉挛  

Selective partial neurotomy of musculocutaneous nerve for the treatment of elbow spasticity due to cerebral palsy

作　　者：于炎冰[1] 张黎[1] 马延山[2] 郭协力[3] 冯利东[4] 李伟 武成奇[6] 闫立民[7] 

机构地区：[1]卫生部中日友好医院神经外科,北京100029 [2]北京市丰台区医院神经外科,北京100071 [3]晋江市医院神经外科,福建晋江362200 [4]包钢第三职工医院神经科,内蒙古包头015007 [5]海城市中心医院神经外科,辽宁海城114200 [6]南阳市中心医院外科,河南南阳473009 [7]北京市房山区良乡医院神经外科,北京102401

出　　处：《中国微侵袭神经外科杂志》2005年第10期449-450,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨选择性肌皮神经分支部分切断术治疗脑瘫病儿肘部痉挛状态的治疗效果。方法回顾性分析65例(81侧)肘部痉挛状态病人的病历资料。结果病人术后均感肘部痉挛状态缓解,术后6周运动功能改善75侧(92.6%)。平均随访26个月,肘部痉挛状态缓解77侧(95.1%),运动功能改善73侧(90.1%),生活质量提高61例(93.8%)。结论选择性肌皮神经分支部分切断术是治疗脑瘫病儿肘部痉挛状态安全有效的显微外科手术方法。Objective To investigate the clinical effect of selective partial neurotomy of musculocutaneous nerve for the treatment of elbow spasticity due to cerebral palsy. Method Sixty-five cases of elbow spasticity with 81 paralyzed elbows treated by selective partial neurotomy of musculocutaneous nerve branch were retrospectively analyzed. Results The spasticity was relieved greatly in all the patients immediately after the operation. Six weeks after the operation, the motor function was improved in 75 elbows （92.6%）. Follow-up lasted for 26 months in average. The spasticity was relieved in 77 elbows （95.1%）, the motor function improved in 73 elbows （90.1%） and the quality-of-life improved in 61 cases （93.8%）. Conclusion Selective partial neurotomy of musculocutaneous nerve branch provides an effective and safe microsurgical approach for the treatment of elbow spasticity in children with cerebral palsy.

关 键 词：脑性瘫痪 肘 肌皮神经 去神经支配 

分 类 号：R651[医药卫生—外科学]