高选择性脊神经后根切断术治疗痉挛性脑瘫25例疗效观察

HYPERSELECTIVE SPR POSTERIOR RHIZOTOMY IN TREATMENT OF SPAMODIC BKAIN PARALYSIS WITH 25 CASES

脑瘫病人中６０％以上表现为痉挛性四肢瘫痪，且以下肢为重，传统疗法疗效多不满意。作者从１９９２年４月份以来采用高选择性脊神经后根切断术（ｐｏｓｔｅｒｉｏｒｒｈｉｚｏｔｏｍｙ，ＳＰＲ）治疗痉挛性脑瘫２５例，疗效优良率达９６％。本文较详细地介绍了手术方法，并对手术适应证及本术式的优点和作者的临床体会进行了阐述。

More than 60%the brain paralysis victims are symptomatic of the limbsspasmosic paralysis,with the legs in particular.So far,the traditional treatment in our coun-try has not proved distinctly effective. Since April 1992,we have been applying SPR to treat-ing 25 patients of spasmodic brain paralysis. Notable effect has been embodied in 96%out ofthe recent patients. The present paper has not only discussed in detail the methodology of theoperation and anesthesia but also elbowated on the indications as well as the advantages ofthe operation and clinical expericence.