有限度的选择性脊神经后根切断术联合有限度的腱松解术治疗下肢痉挛型脑瘫

Limited selective posterior rhizotomy with limited soft tissue release for treatment of spastic cerebral palsy

目的探讨有限度的选择性脊神经后根切断术(LSPR)联合有限度的腱松解术(LSTR)治疗下肢痉挛型脑瘫的方法和疗效。方法对52例痉挛型脑瘫患者,选择性的切断L5、S1脊神经后根,同时对下肢软组织挛缩畸形行有限度的腱松解术治疗。结果术后患者双下肢痉挛及挛缩状态明显缓解;术后2年以上随访31例,步态均较术前有明显改善(P<0.01)。术后未发现明显并发症。结论该疗法可有效的解除痉挛并一次性纠正肢体挛缩畸形,同时最大限度的避免并发症。

Objective To investigate the curative effects of combination of limited selective posterior rhizotomy with limited so ft tissue release for spastic paralysis of low er limb due to cerebral palsy.Methods 52cases of spastic cerebral palsy wi th fixed diformity in lower limbs were treated by selective sectionin g the L 5 ～S 1 nerve roots and limited soft tissue r elease.Results After the surgery ,excellent and goo d ef-fective results were seen in of the ca ses.In 31cases who were followed-up more than 2years there was a signific ant (P<0.01)improvement in the quality of their gait and without any complication.Conclusion The limited operation methods can not only radical release of the spasticity ,but also correct fixed d eformities.With the improving of th e therapeutic results,the incidence rate of complications is decreased.