T_(1)神经根切断术治疗中枢性手屈曲痉挛专家共识(2024)  

Expert consensus on T_(1)rhizotomy for central hand flexion spasticity(2024 version)

作　　者：T_(1)神经根切断术治疗中枢性手屈曲痉挛专家共识制定小组 李文军 王树锋 许珂[4] 杨晨 Specialist Consensus Group on T_(1)Rhizotomy for Central Hand Flexion Spasticity;LI Wenjun;WANG Shufeng

机构地区：[1]不详 [2]国家骨科医学中心、首都医科大学附属北京积水潭医院、北京市骨科专业质量控制和改进中心 [3]国家骨科医学中心、首都医科大学附属北京积水潭医院 [4]北京大学附属第四临床医学院

出　　处：《中国修复重建外科杂志》2025年第3期259-263,共5页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家重点研发计划资助项目(2022YFC3602800);北京市医院管理中心“登峰”计划专项经费资助(DFL20240402);北京市自然科学基金资助项目(L212043)。

摘　　要：中枢性肢体痉挛是中枢神经系统损伤后的一种常见并发症,其中手屈曲痉挛常导致患者活动能力丧失,降低肌张力、缓解痉挛是恢复肢体功能的前提。T_(1)神经根切断术是近年提出的新术式,研究已证实其用于治疗中枢性手屈曲痉挛可行。本共识从中枢性手屈曲痉挛的病因、症状表现、功能评估以及T_(1)神经根切断术适应证、手术原则与流程、康复方案等方面进行总结,提出T_(1)神经根切断术治疗中枢性手屈曲痉挛的规范化方案,供临床医生参考,以期进一步提升中枢性手屈曲痉挛的治疗水平。Central limb spasticity is a common complication after central nervous system injury,in which hand flexion spasticity often leads to the loss of the patient’s ability to move.Reducing muscle tone and relieving spasticity are the prerequisites for restoring limb function.T_(1)rhizotomy,which has been proposed in recent years,has proven to be effective in the treatment of central hand flexion spasticity.This consensus summarizes the etiology,symptoms,functional assessment of central hand flexion spasticity,and surgical indications for T_(1)rhizotomy,surgical principles and procedures,and rehabilitation program.The standardized protocol of T_(1)rhizotomy for the treatment of central hand flexion spasticity is proposed for the reference of clinicians in the process of diagnosis and treatment,with the aim of further improving the treatment level for central hand flexion spasticity.

关 键 词：中枢性肢体痉挛 手屈曲痉挛 T_(1)神经根切断术 

分 类 号：R74[医药卫生—神经病学与精神病学]