论文部分内容阅读
作者从1985~1995年收治由于先天或后天原因所致的脑性瘫下肢肢体运动障碍患者214例。男性162人、女性52人,平均年龄10岁(3~15岁),双下肢受累者181人。经过临床病理分类,分别给予软组织手术(STO)和选择性后根切断术(SPR)治疗,个别病人做了截骨术(OT),近期效果满意。为了减少SPR椎管内手术创伤和并发症,根据其手术原理,作者设计了选择性周围神经束切断术(SelectivePeripherialNervetractNeurotomy),初步观察有一定疗效。远期疗效,STO组随着年龄增长,部分病例3~5年后又重新出现术前不同程度的运动功能障碍症状,尤其痉挛性足下垂比较多见。SPR组随访时间比较短,效果尚待观察。
The author from 1985 to 1995 due to congenital or acquired causes of cerebral palsy lower extremity limb movement disorders in 214 patients. 162 males and 52 females, with an average age of 10 years (3 to 15 years) and 181 people with both lower extremities. After clinical and pathological classification, soft tissue surgery (STO) and selective posterior rhizotomy (SPR) were given respectively. Some patients underwent osteotomy (OT) with satisfactory results in the near future. In order to reduce the intraspinal trauma and complications of SPR, according to its surgical principle, the author designed selective peripheral nerve bundle cutting (SelectivePeripherialNervetractNeurotomy), the initial observation of a certain effect. Long-term efficacy, STO group with age, some cases 3 to 5 years after the re-emergence of varying degrees of preoperative motor dysfunction symptoms, especially spastic foot drooping more common. SPR group follow-up time is relatively short, the effect remains to be seen.