SPR加矫正术和康复训练治疗无行走能力的重度脑瘫  

Selective Posterior Rhizotomy Combined Corrective Operation and Functional Training for the Treatment of Severely Cerebral Palsy-A Report of 19 Cases

作　　者：李贵涛[1] 宁志杰[1] 黄彦杰[1] 李佩佳 罗永忠[1] 常辉 

机构地区：[1]泰安市88医院中国人民解放军骨科中心,泰安271000

出　　处：《中国康复》1998年第3期118-120,共3页Chinese Journal of Rehabilitation

摘　　要：采用脊神经后报选择性切断术（SPR）加矫正术和康复训练治疗重度脑瘫19例，随访半年～4．5年，有11例患者（57．9％）获得行走功能。结果显示：重度脑瘫患者行SPR加矫正术和康复训练等综合治疗后仍有相当患者获优良效果。表明重度脑瘫SPR后必需辅以恰当的矫正术和复杂持久的康复训练，提示：康复训练是重度脑瘫患者功能改善的根本，而SPR只是降低肌张力的关键。SPR加矫正术和康复训练相结合为重度脑瘫的治疗提供了一条新途径。Nineteen severely spastic paralysis Patients without the ability of walk were treated with selective posterior rhizotomy (SPR) combined corrective operation and functional training and followed up from 0. 5 to 4. 5 years. Eleven cases (57. 9%) obtained the ability of walk. The results showed that some patients with severely cerebral palsy obtained satisfactory effects after the comprehensive treatment of SPR combined corrective operation and functional training. It was suggested that the patients treated with SPR needed corrective operation and good functional training yet. The functional training was the most important treatment for severely cerebral palsy to improve the ability of walk. SPR comined corrective operation and functional training was a new mode for the treatment of severely cerebral palsy.

关 键 词：脑瘫 康复 外科手术 SPR 

分 类 号：R742.3[医药卫生—神经病学与精神病学]