摘要
脑性瘫痪(cerebral palsy,CP)简称脑瘫,是目前导致全世界儿童肢体残疾的主要疾病之一,主要类型为痉挛型脑瘫(spastic cerebral palsy,SCP)。选择性脊神经后根切断术(selective dorsal rhizotomy,SDR/selective posterior rhizotomy,SPR)可以有效降低肌张力并缓解痉挛状态。20世纪90年代初期,选择性脊神经后根切断术被引入我国,目前已广泛应用于SCP的外科治疗。本文将从SDR的历史回顾、国内手术方法、手术指征、术后并发症、SDR相关问题、未来展望等方面作一综述。
Cerebral palsy(CP)is one of the major diseases leading to physical disability in children around the world.The major clinical type is spastic cerebral palsy(SCP).Selective dorsal rhizotomy(SDR)or selective posterior rhizotomy(SPR)can effectively reduce muscle tone and relieve paralysis.It has been widely used in the surgical treatment of spastic cerebral palsy(SCP)since early 1990s.This article reviews the history,domestic surgical approaches,indications,postoperative complications and other related issues of SDR.Also recent advances and future prospects of SDR are discussed.
作者
魏民
肖波
Wei Min;Xiao Bo(Department of Neurosurgery,Children's Hospital of Shanghai,Shanghai Jiaotong University,Shanghai 200062,China)
出处
《临床小儿外科杂志》
CAS
2019年第12期1061-1066,共6页
Journal of Clinical Pediatric Surgery
基金
上海市科委医学引导类科技支撑项目(编号:18411962600)
