期刊文献+

选择性脊神经后根部分切断术治疗痉挛性脑瘫

THE CLINICAL APPLICATION OF SELECTIVE POSTERIOR RHIZOTOMY FOR SPASTIC CEREBRAL PALSY
下载PDF
导出
摘要 目的探讨选择性脊神经后根部分切断术治疗痉挛性脑瘫的临床效果。方法对39例痉挛性脑瘫患儿行SPR术。结果39例患者术后肢体痉挛程度降低Ⅱ级15例,降低Ⅰ级24例;肌张力降低Ⅱ级20例,降低Ⅰ级19例。随访:痉挛缓解率为94%,步态功能改善率93%。结论SPR术是治疗痉挛性脑瘫的满意方法。 Objective To study the clinical application of Selective posterior rhizotomy tor spastic cerebral palsy. Methods The postoperative condition of 39 patients with cerebral palsy who had received SPR was analyzed. Results The effect of SPR was remarkable in reliving muscle spastic and decreasing abnormal muscle tone. Conclusion It is a satisfactory method of the treatment of spastic cerebral palsy by SPR.
作者 董宁
机构地区 临沂市中医医院
出处 《山东医学高等专科学校学报》 2009年第5期359-360,共2页 Journal of Shandong Medical College
关键词 选择性脊神经后根部分切断术 痉挛性脑性瘫痪 临床应用 Selective Posterior Rhizotomy Spastic Cerebral Palsy Clinical Application
  • 相关文献

参考文献5

  • 1历华,水泉祥.小儿脑瘫[M].北京:北京医科大学·中国协和医科大学联合出版社,1996:40.
  • 2RUSSMAN BS, GAGE JR. Cerebral palsy[J]. Curr Probl Pediatr, 1989,19(2) :65-111.
  • 3ABDENNEBI B, BOUGATENE B. Selective neurotomies for relief of spastieity focalized to the foot and to the knee flexors. Results in a series of 58 patients[J ]. Acta Neurochir, 1996,138(8): 917-920.
  • 4冯利东,王建良,吴湘玲,邵海,康明旺,王翠宇,陈连军,于炎冰.显微神经外科治疗脑性瘫痪临床研究[J].医学研究杂志,2006,35(4):38-40. 被引量:4
  • 5于炎冰,张黎,马延山,冯利东,郭协力.1037例痉挛性脑瘫显微神经外科手术治疗[J].中华神经外科疾病研究杂志,2005,4(2):121-124. 被引量:27

二级参考文献24

  • 1Mittal S, Farmer JP, Al-Atassi B, et al. Long-term functional outcome after selective posterior rhizotomy [J]. J Neurosurg, 2002, 97(2): 315-325.
  • 2Turi M, Kalen V. The risk of spinal deformity after selective dorsal rhizotomy [J]. J Pediatr Orthop, 2000, 20(1): 104-107.
  • 3Steinbok P, Schrag C. Complications after selective posterior rhizotomy for the spasticity in children with cerebral palsy [J]. Pediatr Neurosurg, 1998, 28(6): 300-313.
  • 4Sindou MP, Mertens P. Neurosurgical management of spasticity [A]. In: Schmidek HH(ed). Operative neurosurgical techniques. indications, methods, and results [M]. 4th ed. Marion: Elsevier Science, 2000: 2460-2473.
  • 5Decq P, Cuny E, Filipetti P, et al. Peripheral neurotomy in the treatment of spasticity. Indications, techniques and results in the lower limbs [J]. Neurochirurgie, 1998, 44(3): 175-182.
  • 6Doute DA, Sponseller PD, Tolo VT. Soleus neurectomy for dynamic ankle equinus in children with cerebral palsy [J]. Am J Orthop, 1997, 26(9): 613-616.
  • 7Msaddi AK, Mazroue AR, Shahwan S, et al. Microsurgical selective peripheral neurotomy in the treatment of spasticity in cerebral-palsy children [J]. Stereotact Funct Neurosurg, 1997, 69(1-4 Pt 2): 251-258.
  • 8Berard C, Sindou M, Berard J, et al. Selective neurotomy of the tibial nerve in the spastic hemiplegic child: an explanation of the recurrence [J]. J Pediatr Orthop B, 1998, 7(1): 66-70.
  • 9Roujeau T, Lefaucheur JP, Slavov V, et al. Long term course of the H reflex after selective tibial neurotomy [J]. J Neurol Neurosurg Psychiatry, 2003, 74(7): 913-917.
  • 10Russman BS, Gage JR. Cerebral palsy [J]. Curr Probl Pediatr, 1989, 19(2): 65-111.

共引文献28

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部