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选择性脊神经后根切断术30例随访分析

FOLLOW-UP EVALUATION OF 30 CASESCHILDREN WITH CEREBRAL PALSY TREATEDBY SELECTIVE POSTERIOR RHIZOTOMY

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【作者】 刘小林朱家恺程钢刘均墀劳镇国

【Author】 LiuXiaolin;Zhu Jiakai; Chen Gang ,et al .The Microsugi-cal and Plastic Divison of the Ist Affiliated Hospital,Sun Yatsen University of Medtcal Sciences,Guangzhozhou

【机构】 中山医科大学附属第一医院

【摘要】 通过对选择性脊神经后根切断术30例术后平均14.3个月的随访,对SPR与临床疗效,并发症,与功能改善的关系进行了比较分析。说明SPR解除痉挛、降低肌张力疗效稳定可靠。术后若配合良好康复训练可明显改善功能。术前基础状态与术后功能改善关系密切。少数患儿术后的腰肌无力现像是一个值得注意的问题。

【Abstract】 Abstract The authors presented the follow-up results of 30children with spastic cerebral palsy,who underwentselective posterior rhizotomy(SPR ) from 1992 to1994.The average follow-up time was 14. 3 months.It were studied and evaluated of the relationship be-tween SPR and relief of spasticity,complications andthe extremities function. It has been proved that therelief of lower extremities spasticity by SPR is very ef-fective. If there was a good rehabilitation training,theextremities function would been improved with time.On the other hand,the functional improvement post-operation was less satisfactory if the rehabilitationtraining was not intensive an/or the basic health statewas not good.It ought to pay more attention to thephenomenon of waist muscles weakness postoperation,which mav be a main complication of middle and lateterms after SPR.

【关键词】 脊神经后根切断术脑性瘫痪
【基金】 国家自然科学基金
  • 【文献出处】 中华显微外科杂志 ,CHINESE JOURNAL OF MICROSURGERY , 编辑部邮箱 ,1995年04期
  • 【分类号】R746.305
  • 【被引频次】25
  • 【下载频次】39
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