儿童痉挛性脑瘫外科治疗变迁与展望  

Historical modifications and future outlooks of surgery for cerebral palsy in children

作　　者：应灏[1] 王林 Ying Hao;Wang Lin(Department of Pediatric Orthopedics,Children's Hospital of Shanghai,Shanghai Jiao Tong University,Shanghai 200062,China)

机构地区：[1]上海市儿童医院,上海交通大学医学院附属儿童医院骨科,上海200062

出　　处：《临床小儿外科杂志》2022年第6期501-504,共4页Journal of Clinical Pediatric Surgery

基　　金：上海市科技创新行动计划医学创新研究专项(20Y11913400)。

摘　　要：脑性瘫痪是目前导致儿童肢体残疾的主要疾病之一,痉挛性脑瘫是其最常见的表现形式,外科手术复杂,且存在争议,手术的方式和干预时机多样。早期干预方式为分期的单平面手术,目前大量开展的是多平面手术。应用三维步态检测,结合选择性脊神经后根切断术、肌腱延长微创手术的综合治疗方案在改善患儿预后上具有一定的优势。痉挛性脑瘫的治疗目标是改善患儿行走功能,临床应避免采取更多创伤较大的骨性手术,推崇多学科联合的个性化治疗方案。Cerebral palsy is one of major diseases causing physical disability in children and spastic cerebral palsy is the most common form.Surgery has remained complex and controversial while surgical approaches and intervention opportunities vary greatly.Its early intervention of staged uniplanar surgery has been replaced by currently popular multiplanar surgery.Combining mini-invasive and three-dimensional nerve root lengthening surgery offers the advantages of better outcomes.The ultimate therapeutic goal is to improve ambulatory functions and avoid more traumatic bone procedures.Therefore adopting a multidisciplinary personalized treatment protocol is highly recommended.

关 键 词：脑性瘫痪/并发症 脑性瘫痪/外科学 肌痉挛状态/并发症 肌痉挛状态/外科学 矫形外科手术/方法 

分 类 号：R726.5[医药卫生—儿科]