颈动脉外膜交感神经剥离术治疗重症脑瘫的疗效观察  

Effects of Carotid Sympathectomy on Intercurrent Damage of Refractory Cerebral Palsy:204 Cases Report

作　　者：王世杰[1] 陈业涛[1] 刘海生[1] 王东[1] 王云鹏[1] 左焕琮[1] 

机构地区：[1]清华大学玉泉医院神经外科,北京市100049

出　　处：《中国康复理论与实践》2008年第9期858-859,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：清华-裕元医学科学研究基金(20240000562)

摘　　要：目的探讨颈动脉外膜交感神经剥离术治疗重症脑瘫及其并发损害的疗效。方法回顾分析显微手术剥离颈动脉外膜交感神经治疗重症脑瘫204例病例。结果187例获得随访(91.7%)。随访期间症状好转率扭转痉挛及紧张性痉挛为74.4%,手足徐动为42%,智能语言障碍为63.6%,流涎81.6%,斜视27.6%,吞咽进食困难88%;日常生活动作能力提高43.8%;总显效率82.7%。结论显微手术剥离颈动脉外膜交感神经是治疗重症脑瘫的有效方法。Objective To study the effects of carotid sympathectomy on symptom or intercurrent damage of refractory cerebral palsy. Methods 204 cases with cerebral palsy of mixed type and with intercurrent damage were treated with bilateral carotid sympathectomy. Results 187 cases （91.7%） were followed up successfully, which showed 74.4% of torsion or tension spasm, 42% of athetosis, 63.6% of cognition language disturbance, 81.6% of sialorrhoea, 27.6% of strabismus and 88% of deglutition handicap improved. The scores of activity of daily living improved 43.8%. The total incidents effective rate was 82. 7%. Conclusion Carotid sympathectomy is an effective and safe microsurgery method for the symptom or intercurrent damage of the refractory cerebral palsy.

关 键 词：重症脑性瘫痪 并发损害 显微手术 交感神经剥离术 颈动脉 

分 类 号：R742.3[医药卫生—神经病学与精神病学]