127例痉挛性脑瘫的手术治疗  

A clinical study on operative treatment for spastic cerebral palsy in 127 cases

作　　者：邓宗锵[1] 周南开[1] 周波[1] 车善理[1] 

机构地区：[1]重庆市中山医院,400013

出　　处：《重庆医学》2009年第3期319-320,共2页Chongqing medicine

摘　　要：目的探讨痉挛性脑瘫的手术治疗方式并观察其效果。方法127例患者根据病情分别行选择性腰骶神经后根部分切断术、选择性腰骶神经后根部分切断加双内收肌部分切断术、选择性腰骶神经后根部分切断加双跟腱延长术、单纯双内收肌部分切断术、单纯双跟腱延长术和选择性周围神经缩窄术。结果127例经治疗,显效80例,好转35例,无效12例,总有效率90.55%;患者日常生活能力、神经功能缺损程度评分明显改善。结论外科手术是治疗痉挛性脑瘫一种有效的方式,但须严格掌握适应证并根据每个患者的不同特点采取个性化手术方式。Objective To probe the operative treatment for spastic cerebral palsy,and to investigate its effect. Metheds According to the condition of the patients with spastic cerebral palsy,such operations were carried out as selective SPR and Achilles tendonlengtbening, SPR only, Achilles tendonlengthening only, selective neurotomy of peripheral nerve on the patients individually. Results Through the operative treament,80 patients showed excellent results,35 indicated to improve,and 12 in vain. The overall effective rate was 90.55%. Activity of daily living,neurological disability of the patients improved obviously. Conclusion The operative treatment is an effective therapy for spastic cerebral palsy. Merely, the indications must be recognnized accurately,and the personalized operative procedure must be carried out based on the condition of patients.

关 键 词：痉挛性脑瘫 手术治疗 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R651[医药卫生—临床医学]