摘要
目的重新评价C_8神经根切断治疗上肢脑瘫的疗效。方法对6例C_8神经根切断治疗上肢脑瘫的患者进行术后6个月至5年以上的功能随访,并对同期2例患者进行肌腱切断与移位的术后功能进行评价。结果 6例C_8神经根切断治疗上肢脑瘫仅短时间内有效(术后10～30 d),长期无效。1例单纯切断痉挛肌腱短期内关节能放松(1～3个月),长期无效。1例痉挛肌腱切断后移位至松弛肌,腕手功能明显好转,并长期有效。结论经长期随访,C_8神经根切断治疗上肢脑瘫是无效的手术方法。经典的切断痉挛肌腱,并移位于无力肌腱是可靠的治疗方法。
Objective To re-evaluate the outcome of C8 ryizotomy tor treatment of the spastic upper extremity in cerebral palsy. Methods Six patients who had spasticity of the upper extremity due to cerebral palsy were treated with C8 rhizotomy and were followed-up for 5 years to evaluate treatment outcome. Two other patients who were treated with tcnotomy and （or） tendon transfer were also reported. Results C8 rhizotomy resulted in effective relief of the spasm in a short period after the surgery （10 -30 d） . The long-term results, however, were poor. Simple resection of the spastic tendons was able to keep the joints in relaxed position till 3 months postoperatively when the spasticity recurred. The other patient who had the spastic tendon resected and transferred to the wrist extensors and extensor pollicis longus got a significant tunctional improvement as seen at follow-up 6 years postoperatively. Conclusion C8 rhizotomy is not an effective surgical procedure for upper extremity spasticity caused by cerebral palsy. The classic operation with spastic tendon resected and transferred to the antagonist tendon is a reliable reconstructive procedure.
出处
《中华手外科杂志》
CSCD
北大核心
2005年第6期350-352,共3页
Chinese Journal of Hand Surgery
关键词
脊神经根
脑性瘫痪
肌痉挛
随访研究
Spinal nerve roots
Cerebral palsy
Muscle spasticity
Follow-up studies
