前臂屈肌肌起点下移治疗脑性瘫痪腕下垂  

Surgical management of the wristdrop in cerebral palsy

作　　者：黄伟[1] 李怀先[1] 严为棣[1] 

机构地区：[1]重庆医科大学临床学院骨科,重庆400016

出　　处：《重庆医科大学学报》2002年第1期79-81,共3页Journal of Chongqing Medical University

摘　　要：目的：探讨前臂屈肌肌起点下移术治疗脑瘫后腕下垂的远期疗效。方法：１９７６年以来的６例脑瘫后严重腕下垂的患者，男４例，女２例，平均年龄２１岁，术前病程５～２４年，平均１８年。全部患者均行前臂屈肌肌起点下移术。结果：术后经３～１０年（平均５．７年）随访，大部分患者的腕关节功能有明显的改善，有效率为６７％，２例无效，无并发症。结论：我们初步体会到本疗法对大脑瘫痪性腕下垂有好的疗效，但应严格掌握手术病例的选择、挛缩肌肉的彻底松解和严格的术后处理三个环节，否则会直接影响手术的治疗效果。Objective: To investigate the long-term clinical results of the wristdrop in cerebral palsy with muscle release of the origin of the flexors of the forearm. Methods : Six cases were treated with muscle release of the origin of the flexors of the forearm since 1976. There were two women and four men with an average of 21 of age. They had had this disease from 5 years to 24 years before the operation(average 18 years). Results:The function of most wrists obviously improved for three to ten years follow-up (average 5.7 months). There were 67% effective rate and there was no complication. Conclusion: It is satisfactory to treat with muscle release of the origin of the flexors of the forearm for the wristdrop in cerebral palsy. It is important to select appropriate cases, release entirely contracture muscle and manage strictly after the operation.

关 键 词：脑性瘫痪 上肢 前臂屈肌肌起点下移术 

分 类 号：R651.11[医药卫生—外科学]