| 选择性脊神经后根切断术治疗痉挛性脑瘫的疗效分析 |
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| 引用本文： | 马凯,李勇杰.选择性脊神经后根切断术治疗痉挛性脑瘫的疗效分析[J].中国微侵袭神经外科杂志,2004,9(7):289-291. |
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| 作者姓名： | 马凯 李勇杰 |
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| 作者单位： | 首都医科大学宣武医院功能神经外科,北京,100053 |
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| 摘 要： | 目的在脊髓圆锥段进行选择性脊神经后根切断术(SPR),并观察手术效果。方法全麻下行T12~L2椎板切除,在脊髓圆锥段进行L2～S1 SPR共治疗22例痉挛性脑瘫病人,随访6个月,观察病人术后相应肌群痉挛及运动功能的改善情况。结果病人上下肢多组肌群痉挛改善明显,多项运动功能得到提高,无明显并发症。结论在脊髓圆锥段进行L2～S1 SPR,手术效果良好,且创伤较小。
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| 关 键 词： | 脑瘫 肌肉痉挛 选择性脊神经后根切断术 |
| 文章编号： | 1009-122X(2004)07-0289-03 |
| 修稿时间： | 2003年9月16日 |
Analyse of the curative effect of selective posterior rhizotomy for spastic cerebral palsy |
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| MA Kai,LI Yongjie.Analyse of the curative effect of selective posterior rhizotomy for spastic cerebral palsy[J].Chinese Journal of Minimally Invasive Neurosurgery,2004,9(7):289-291. |
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| Authors: | MA Kai LI Yongjie |
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| Institution: | MA Kai,LI YongjieDepartment of Functional Neurosurgery,Xuanwu Hospital,Capital University of Medical Science,Beijing 100053,China |
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| Abstract: | Objective Selective posterior rhizotomy (SPR) of L2-S1 at conus medullaris level was performed and the procedure's results were followed up. Method SPR of L2-S1 at conus medullaris level through T12 to L2 laminectomy was performed on 22 patients suffering from spastic cerebral palsy, the change of spasticity and motor abilities were investigated through 6 months followed up. Result Reduction of spasticity was observed in all the muscular groups, and all the patients presented functional improvement of motor abilities. No patients developed serious complications. Conclusion SPR at medullaris level has showed a satisfactory result with a limited injury. |
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| Keywords: | cerebral palsy muscle spasticity selective posterior rhizotomy |
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