选择性脊神经后根切断术治疗痉挛性脑瘫  

Selective posterior rhizotomy for the treatment of spastic cerebral palsy

作　　者：王秋根[1] 吴岳嵩[1] 年申生[1] 杨锡铭[1] 顾雄华[1] 张春才[1] 康一凡[1] 陈舰[1] 王家林[1] 

机构地区：[1]第二军医大学长海医院骨科

出　　处：《第二军医大学学报》1998年第6期554-556,共3页Academic Journal of Second Military Medical University

摘　　要：目的：观察选择性脊神经后根切断术（ＳＰＲ）治疗痉挛性脑瘫的疗效。方法：根据２０６例痉挛性脑瘫患者术前情况将患者分为轻度（独立行走）、中度（扶持下行走）和重度（不能行走）３组，均施行ＳＰＲ术。术后平均随访时间２年８个月，有随访的１７２例，观察痉挛解除情况并进行功能评定。结果：术后７１例轻度患者中有４５例能单腿站立，占６３．４％。７４例中度患者中有３２例能在室内脱手行走，占４３．２％。２７例重度患者中有８例能扶持下行走，占２９．６％。Objective: To observe the effects of selective posterior rhizotomy (SPR) on the treatment of spastic cerebral palsy. Methods: Two hundred and six cases of spastic cerebral palsy were operated on by SPR. Of them 172 were followed up for an average of 2 years and 8 months and were divided into three groups according to their preoperative motion functions: group A (n=71), group B (n=74) and group C (n=27). The patients in group A could walk and stand up from squatting position independently, those in group B could walk and stand up from squatting position dependently and those in group C could not walk and stand up from squatting position. After operation, the effects of SPR on spastic cerebral palsy were examined and evaluated. Results: After operation 45 patients could stand steadily on one foot (63 4%) in group A; 32 patients could walk independently in the room (43.2%) in group B; 8 patients could walk dependently (29.6%) in group C. Conclusion: SPR is effective for the treatment of spastic cerebral palsy.

关 键 词：脑性瘫痪 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]