双侧颈总动脉外膜交感神经网剥脱术治疗小儿脑瘫流涎237例临床效果分析

Two-sided arteria carotis communis anterior external coat periplast cross coupling neural network cracking-off technique to treat the young child brain paralysis to salivate 237 example clinical effects to analyze

目的：回顾性分析237例双侧颈总动脉外膜交感神经网剥脱术治疗小儿脑瘫流涎效果.方法：总结2007年2月至2010年2月所有接受双侧颈总动脉外膜交感神经网剥脱术的237例患者,均完成术后6个月随访,根据流涎分级法确定是否改善.结果：治愈75例;显效56例;有效47例;总有效率为75.11%,5岁以上总有效率60.94%,术中出血1例,2例出现Honer综合征. 结论：双侧颈总动脉外膜交感神经网剥脱术治疗小儿脑瘫总体有效率在75.11%,完全控制率31.65%,无明显不良并发症,并可有智能语言障碍、斜视、吞咽进食困难、共济失调、手足徐动等症状的改善效果,故可推广应用于小儿脑瘫流涎症状的治疗,且应提倡早期手术治疗.

Objective：The review analysis 237 example two-sided arteria carotis communis anterior external coat periplast cross coupling neural network cracking-off technique treats the young child brain paralysis to salivate the effect. Methods：Summarizes from February,2007 237 example patients who all accepts the two-sided arteria carotis eommunis anterior external coat periplast cross coupling neural network cracking-off technique to February, 2010, completes the technique latter 6 month revisit, according to salivates the staging to determine whether improves. Result： Cures 75 examples;Shows results 56 examples; Effective 47 examples ; The total effectiveness is above 75.11%, 5 years old the total effectiveness 60. 94 %, in the technique bleeds 1 example,2 examples appear the Honer synthesis to draft. Conehision：The two-sided arteria carotis eommunis anterior external coat periplast cross coupling neural network cracking-off technique treats the young child brain paralysis overall effectiveness in 75. 11%, the complete inverse amplification factor 31.65 %, not obviously not the good complication, and may have the intelligent language barrier, the swiveleye, swallows swallows the feed difficultly, altogether aids detuning, symptom and so on hand and foot Xu Dong improvement effects, therefore may promote applies salivates the symptom treatment in the young child brain paralysis,also should advocate the early surgery treats.