大龄小儿麻痹后遗症手术矫治问题

Opcrative Problcms of Infantile Paralysis inthe Eldcrs

本文复习２２９例儿麻病例共４００例次手术，分大龄（２８～４５岁，平均３０．２岁）和青少年（１５～２７岁，平均２０；１岁）两组。随访时间１～１４年。统计结果：手术的优良率及其并发症呈非常显著性差异（Ｐ＜０．０１或Ｐ＜０．０５）。作者提出了儿麻矫治术的一般原则和大龄儿麻的手术原则。讨论了手术设计应注意的问题；

Abstract 229 cases of infantile paralysis dealtwith 400 operations were reviewed in thispaper.These cases were divided into twogroups:The elder one were 123 cases,whoseage ranged form 28 to 45 years(average 30.2 years )and the youngsters l5 to 27 years(average 20.1 years)were 106 cases.Theywere followed-up from 1 to 14 years.Statis-tics result of the fine rates and the complica-tions of operation bewteen the groups areObvious diffrence(P<0.01 or P<0.05).The authors put forward the general princi-ple of infantile paralysis and the operativeprinciple in elders.They also discussed someproblems of operative design and analyzedthe causes and the preventive measures of the common complications.