SPR手术治疗脑瘫患者32例临床效果分析

The clinical efficacy of selective posterior rhizotomy surgical in the treatment of spastic cerebral palsy

目的探讨痉挛性脑瘫手术的治疗方式及其临床疗效。方法以2013年11月至2015年12月我院收治的32例痉挛性脑瘫儿为研究对象,针对患者的实际情况采用具有针对性的手术方式为其开展对症治疗。结果对患者开展12月的随访,发现其痉挛的缓解率能够达到95%,并且髌阵挛与踝阵挛都已经消失,患者的肌张力也得到了明显的改善,随访期间1例患者由于手术后不配合康复运动训练造成了复发现象。结论外科手术是治疗痉挛性脑瘫疾病的有效方法,根据患者的具体情况,选取恰当的手术方式,术后按照规定时期进行康复运动训练,可得到较满意的效果。

Objective To explore the surgical treatment and clinical efficacy of spastic cerebral palsy.Methods Selected32 cases of spastic cerebral palsy during November 2013 to December 2015 in our hosipital as research objects.The corresponding operation treatment was adopted according to the specific situation of patient,and the clinical data were retrospectively analyzed.Results During the 12 months followed up,the spasm remission rate of patients with spastic cerebral palsy is 95%（31/32）,the symptom of ankle clonus and patellar clonus have disappeared,and the muscle tension also significantly improves at the same time.During the follow up period,one patient appeared different degree of recurrence,because he didn＇t cooperate with the rehabilitation exercise training after operation.Conclusion For spastic cerebral palsy,surgical treatment is the most effective treatment method.Selected of appropriate surgical methods,in strict accordance with the SPR operation indications and the patient＇s specific conditions,in combined with postoperative period rehabilitation exercise training,can obtain a satisfactory therapeutic effect.