选择性腕掌部肌力平衡术治疗脑瘫手部畸形  

Muscle balance operation for the treatment of spastic cerebral palsy of hand deformity

作　　者：孙立泉[1] 于嘉智[1] 刘涛[1] 

机构地区：[1]山东大学齐鲁儿童医院,山东济南250022

出　　处：《中国伤残医学》2013年第4期8-9,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨痉挛性脑瘫手部畸形的手术改进方法,最大限度改善患儿手部的正常功能。方法:采取患儿手部本身原有软组织的肌腱滑行延长和肌内延长方法,达到伸屈腕肌力的平衡恢复手的基本功能位。结果:2006～2011年收治24例手畸形患儿,术后随访1～4年,效果良好,无复发,家长满意。结论:肌力平衡术治疗痉挛性脑瘫手部畸形适合4岁以上并且能主动配合功能锻炼的4岁以上患儿,手足徐动型不排除在指征之外。Objective： To study the effect of Improved surgery methods of spastic cerebral palsy in children with hand deformity , which may improve hand function maximatily. Methods：24 infants with hand deformity, who attended our hospital from 2006 to 2011, were treated by surgical methods of autologous tendon gliding extended and intramuscular lengthening,with a purpose of muscle strength balance of wrist and hand basic function recovery. Results： All of the infants had good effect after treatment, and none of the babies had recurrence, which were followed up for 1-4 years. Conclusion： Muscle balance operation for the treatment of spastic cerebral palsy of hand deformity were suitable for patients who were more than 4years old and could take the initiative to cooperate with functional exercise. Athetosis was not excluded from the indications.

关 键 词：脑性瘫痪 肌力平衡术 手畸形 

分 类 号：R726[医药卫生—儿科]