【摘要】 目的分析有限度选择性脊神经后根切断术(LSPR)和软组织松解术(LSTR)同时治疗双下肢痉挛型脑性瘫痪(CP)的疗效。方法收集施行LSPR同时行LSTP治疗的痉挛型CP 38例。男21例,女17例;年龄3.0~8.11岁,平均5.11岁;随访时间为2年。根据运动功能评分评定手术前后运动功能。结果LSPR同时行LSTR对运动功能改善有满意疗效,且与选择性脊神经后根切断(SPR)术后6个月行矫形手术对比,疗效相差无几。结论LSPR同时LSTR,可改善患者双下肢痉挛和畸形,提高患者运动功能,同时免去患者2次手术的痛苦。更多还原

【Abstract】 Objective To analyze the effect of both limited selective posterior rhizotomy(LSPR)and limited selective soft tissue release(LSTR)on healing motor function related to spasmo-cerebral palsy in both legs.Methods Thirty-eight cases CP with LSPR and LSTR were collected in the past 3 years;21 males,17 females;aged 3.0-8.11 years old,on the average of 5.11 years old.Perioperative motor function were evaluated according to motor function scores.Results LSPR and LSTR played a role in improving motor function obviously,and had little difference in orthomorphia after SPR for 6 months.Conclusion LSPR and LSTR may improve cramp and abnormality in both legs,and enhance motor function,so the secondary operation agony can be avoided,and the family economic burden relived.更多还原