选择性脊神经后根切断术后并发症原因探讨  

Postoperative Complications of Selective Posterior Rhizotomy

作　　者：韩福友[1,2] 李晓敏[1,2] 李昭铸[1,2] 姬舒荣 孙岩[1,2] 

机构地区：[1]哈尔滨医科大学附属第二医院小儿外科 [2]黑龙江省尚志市人民医院外科

出　　处：《中华小儿外科杂志》1998年第5期296-298,共3页Chinese Journal of Pediatric Surgery

基　　金：黑龙江省科学技术委员会科学基金

摘　　要：目的：探究选择性脊神经后根切断术（ＳＰＲ）治疗脑瘫术后并发症的原因与防治办法。方法：对１０３例ＳＰＲ术后进行近期疗效观察与远期随访。结果：在术后近期并发症中主要有肠绞痛、排尿功能障碍、局限性感觉异常或缺失及脑脊液漏。远期并发症为髋关节脱位、脊柱畸形、肌无力。结论：ＳＰＲ术后近期并发症中多为暂时性的，多在术后３周内自愈。而远期并发症则影响治疗效果。Objective: Selective posterior rhizotomy (SPR) relieves muscular spasm and improves motor function. Complications, especially hypokinesia, are common. The study aims to analyze the causes and formulate effective preventative measures. Methods: 103 patients who had under gone SPR were followedup and the complications were classified. Results: Early complications of SPR included intestinal colic, urinary dysfunction, localized paresthesia and cerebrospinal fluid leak. Late complications included spinal deformity, hip dislocation and hypokinesia. Conclusions: Early complications are temporary and spontaneous recovery after 3 weeks is common. Late complications affect operative results, and proper management and prevention of complications are important.

关 键 词：脑瘫 脊神经后根切断 术后并发症 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R726.51[医药卫生—临床医学]