摘要
目的探讨应用显微技术选择性脊神经后根切断术治疗儿童脑性瘫痪的临床效果。方法选择32例4～12岁下肢痉挛性脑瘫儿童,应用电刺激及显微技术,按不同脊神经节段,不同比率选择性切除脊神经后根,观察术后肌张力缓解情况。结果25例儿童术后双下肢痉挛消失,7例好转,排尿费力者明显改善,无严重并发症及死亡病例,19例随访6个月～4年,未见痉挛再现。结论应用显微技术选择性脊神经后根部分切断术是治疗儿童脑性瘫痪的有效方法。
Objective To investigate the clinical effect o f selective posterior rhizotomy und er microscope in children with cereb ral palsy.Method32cases of spastic palsy in lower extremities were collected for this stu dy,age from 4years to 12years,electrical stimu-lation or microtechnique were applied to this protocol,rhizotomy was performed according to different segm ents and different rate,muscular tension were examined after operation.Results Spastic palsy in lower extremities d isappeared in 25cases of children,i mproved in 7cases,difficulty in urination were appare ntly relieved in this series,no severe complication and death was observ ed,19cases were follow-up for 6months ～4years,and no recurrence wa s identified.Conclusion Selective posterior rhizotomy under microscope is an effective method f or curing cerebral palsy in children.
出处
《中国临床康复》
CSCD
2002年第4期489-490,共2页
Chinese Journal of Clinical Rehabilitation
