选择性脊神经后根切断术治疗痉挛性脑瘫

HIGH SELECTIVE POSTERIOR RHIZOTOMY

从１９９３年至１９９４年，对７例痉挛性脑瘫患者进行高选择性腰骶神经后根切断术（ＳＰＲ），通过随访分析，探索本手术对痉挛性脑瘫的治疗价值。全部病例术后均可解除肌张力增高及踝阵挛、踺反射亢进。矫正足尖着地行走５例，术后可翻身运动６例，行走步态稳定１例，可扶物行走３例，可下蹲站立１例。因而认为，ＳＰＲ手术比以往治疗脑瘫的手术方法较为彻底，只有解除了肢体的痉挛及增高的肌张力，才能使患儿进行合理的康复训练。同时，应重视手术前后的指令性康复训练，只有积极配合，才能提高ＳＰＲ手术的疗效。

AbstractSince 1993 , high selective posterior rhizotomy hasbeen used in disabled patients with spasicity of lowerlimbs. After following-up, high myotonia , clonus re-flex were lost on all cases. Of all 7 cases, 5 toe walkinghave discarded, 6 turned the body after operation, 1stepped good, 3 stepped with help and squated good.Details of operative exposure . microsurgical techniqueand electricai stimulation of the posterior root fascieleswere deseribed in this article. At last the author ex-pounded the value of exercise before and after opera-tion.