高选择性脊神经后根切断术治疗91例锥体束系痉挛性脑瘫临床疗效分析  

To Research the Clinical for the Results of 91 Child's Pyramidal Tract System Convulsion of Treatment by High Selective Posterior Rhizotomy

作　　者：罗鹏刚[1] 熊龙[2] 张兰亭[3] 

机构地区：[1]南昌大学研究生院医学部,2006级南昌330006 [2]江西省人民医院骨一科,南昌330006 [3]南昌大学第四附属医院骨科,南昌330003

出　　处：《江西医学院学报》2009年第1期115-117,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的观察高选择性脊神经后根切断术治疗小儿锥体束系痉挛性脑瘫的疗效。方法对91例锥体束系痉挛性脑瘫患儿施行高选择性脊神经后根切断术。术后随访6个月,观察痉挛解除情况并进行功能评定。结果91例患者术后81例痉挛完全消失,10例明显缓解,解痉有效率100%;术后行走能力评分5分43例,4分30例,3分12例,总有效率93.5%;步态明显改善49例,有所改善26例,总有效率82.4%。结论高选择性脊神经后根切断术治疗小儿锥体束系痉挛型脑瘫疗效显著。Objective To observe the effect of high selective posterior rhizotomy（HSPR） on children with pyramidal tract system spastic cerebral palsy. Methods Ninety-one spastic pyramidal tract system cerebral palsy cases were operated on by HSPR, and a poster-operative follow-up was performed after 6 months. Operative effect of HSPR was examined and evaluated. Results After operation for 91 cases, 81 cases ＇ spasm comlpetely disppeared, 10 cases ＇ spasm apparently relieved,the total efficiency was 100% ;43 cases had score 5 in walking ability,30 cases had score 4 and 12 cases had score 3,the total efficiency was 93.5% ;49 cases improved the gait apparently, 26 cases improved in slightly,the total efficiency was 82.4%. Conclusion HSPR is very effective for children with pyramidal tract system spastic cerebral palsy.

关 键 词：脊神经后根 锥体束系 脑性瘫痪 痉挛 

分 类 号：R651.22[医药卫生—外科学]