选择性胫神经分支部分切断术治疗踝部痉挛状态

目的 探讨选择性胫神经分支部分切断术治疗踝部痉挛状态的治疗效果。方法 回顾分析2000年3月至2002年3月显微手术治疗的141例病人219只踝部痉挛状态病例，全部采用选择性胫神经分支部分切断术。结果 全部病人平均随访12.6个月。全部病人术后立即感踝部痉挛状态缓解，随访期间缓释率为97％。术后2周内步态功能改善满意。术后发生小腿、足部感觉障碍16例，随访期间均见好转，无1例发生肌无力，结论 选择性胫神经分支部分切断术是治疗踝部痉挛状态安全有效的显微外科手术方法。

Selective tibial neurotomy for relief of spasticity focalized to the ankle

Objective To study the effectiveness of selective tibial nerotomy for relief of spasticity focalized to the ankle. Methods From March 2000 to March 2002. 219 foot of 141cases of ankle spasticity had been treated by microsurgical selective tibial neurotomy. Results With follow up of a mean duration of 12 6 months, it was study showed that 100% cases experienced disappearance or notable regression of the spasticity right after operation,and the percentage at follow up duration was 97%. The improved motor capacities right after operation were found in 100% cases, while 96% at follow up. 100% cases had better quality of life by follow up. Postoperative complications were dysaesthesias of foot in 16 cases. Muscle weakness was not found in all cases. Conclusions Selective tibial neurotomy is an effective and safe microsurgical method for the treatment of ankle spasticity.