摘要
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。
From 1985 to 1995,there were 214 cases of spastic lower limbs motor disturbance due to congenital or acquired causes admitted in this hospital.They were 162 male,52 female;average 10 years of age(3 15 years);181 patients involved bilateral limbs.They were arranged according to clinical classification and delt with soft tissue operation(STO),selectrie postrior rhizotomy(SPR),osteotomy(OT)in individural case.The recent result was satisfactory.In order to avoid the intraspinal cannal trauma and complication,the auther designed the selective peripherial nerve fascicular neurotomy.(SPNN),it appeared certain effect in primary observation.After 3 5 years follow up,the STO treated group showed different degree of relapse of preoperative motor disturbance when they grown up with age.Spastic foot drop was relatively more to relapse.The long term follow up of SPNN group was promised in the future.
出处
《中国矫形外科杂志》
CAS
CSCD
1997年第1期24-25,共2页
Orthopedic Journal of China
