选择性胫神经肌支切断术治疗痉挛性马蹄足  

Selective partial neurotomy of muscular branch of triceps in the treatment of spastic talipes equines

作　　者：齐勇[1] 李贵涛[1] 徐汪洋[1] 武光勤[1] 罗狄鑫[1] 金勋杰[1] 陈造宏[1] 陈锡然[1] 

机构地区：[1]广东省第二人民医院骨科,广州510310

出　　处：《国际外科学杂志》2010年第7期466-468,共3页International Journal of Surgery

摘　　要：目的 总结并探讨选择性胫神经三头肌肌支部分切断术在治疗痉挛性马蹄足中的应用效果.方法 选择自2000年8月-2007年12月于广东省第二人民医院接受选择性胫神经三头肌肌支部分切断术治疗的痉挛性马蹄足畸形42例作为研究对象,其中男性29例,女性13例,对比手术前后下肢肌力、肌张力、病理征的变化,对比手术前、手术后患者姿势以及功能的改变.结果 术后平均随访18个月,42例患者采用选择性胫神经三头肌肌支部分切断术治疗后,肌张力降低,踝关节活动改善,下肢功能得到明显改善,随访12个月时有效率为90%.结论 选择性胫神经三头肌肌支部分切断术是治疗痉挛性脑瘫患者马蹄畸形的有效方法,该方法手术操作简单,效果可靠,易于在基层医院推广.Objective To summarize and explore the clinical value of selective partial neurotomy of muscular branch of triceps in the treatment of spastic talipes equines.Methods Forty-two cases were included in our study from Aug.2000 to Des.2007,all these cases accepted the operation of selective partial neurotomy muscular branch of triceps.In this study,29 cases were male,13 cases were female.Muscle force of legs,muscular tension,pathologic reflex,gesture and function of legs after operation were compared with that of before operation.Results The mean fallow-up was 18 months.During the fallow-up of this study,muscular tension degraded,the function of ankle joints and the gesture of extremitas inferior were improved obviously.The effective power was about 90% after 12 months follow-up.Conclusions Selective partial neurotomy of muscular branch of triceps is a effective method for the treatment of spastic talipes equines.The operation procedure is simple and effective,and could be generalized in the primary level hospital.

关 键 词：痉挛性马蹄足 手术治疗 神经切断术 

分 类 号：R687.3[医药卫生—骨科学]