选择性脊神经后根切断术治疗痉挛性脑瘫远期随访  

Long term outcome of selective posterior rhizotomy for spastic cerebral palsy

作　　者：王秋根[1] 侯铁胜[1] 张春才[1] 年申生[1] 吴岳嵩[1] 杨锡铭[1] 顾雄华[1] 

机构地区：[1]第二军医大学附属长海医院骨科

出　　处：《中华外科杂志》1998年第11期674-676,共3页Chinese Journal of Surgery

摘　　要：目的探讨选择性脊神经后根切断术（ＳＰＲ）治疗痉挛性脑瘫的远期疗效及并发症。方法对经过ＳＰＲ术后４年以上随访的２６例以下肢痉挛为主要症状的脑瘫患者的痉挛解除和功能恢复情况进行测定、分析。结果９例轻度患者中，有７例能单腿站立；１２例中度患者中，有７例能在室内脱手行走；５例重度患者中，有３例能单手扶持下行走。本组２６例中有３例分别出现骨盆倾斜、脊柱侧凸、前凸加重等并发症。结论ＳＰＲ手术是治疗痉挛性脑瘫的有效方法，但应严格掌握手术适应证，重视术前。Objective To investigate the long term outcome and complication of selective posterior rhizotomy for spastic cerebral palsy. Method 26 patients with cerebral palsy who had received SPR were followed up for four years. Result In the 9 patients who could walk and stand up from squatting position independently, 7 could stand steadily on one foot after operation. In the 12 who patients could walk and stand up from squatting position dependently, 7 could walk independently in the room after operation. In 5 patients couldn′t walk and stand up from squatting position, 3 patients could walk dependently in the room after operation.Complications occurred in 3 patients. Conclusion Selective posterior rhizotomy is effective in the treatment of spastic cerebral palsy. Strictly selecting candidates for the operation and good rehabilitation training before and after operation should be emphasized for good results.

关 键 词：脑性瘫痪 外科手术 脊神经后根切断 痉挛性 

分 类 号：R742.305[医药卫生—神经病学与精神病学]