| 周围神经选择性切断治疗脑瘫性下肢痉挛 |
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| 引用本文： | 张继武,赵明,梁树立,查炜光,邰军利.周围神经选择性切断治疗脑瘫性下肢痉挛[J].中国临床神经外科杂志,2010,15(3):135-137. |
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| 作者姓名： | 张继武 赵明 梁树立 查炜光 邰军利 |
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| 作者单位： | 解放军总医院第一附属医院神经外科,北京,100048 |
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| 摘 要： | 目的探讨周围神经选择性切断治疗脑瘫性下肢痉挛的效果。方法对380例脑瘫性下肢痉挛患者,根据痉挛部位不同,选择相应周围神经(包括腰骶段脊神经后根、坐骨神经、闭孔神经和胫神经)部分切断。结果术后痉挛缓解率100%,其中82例患者肌力下降,142例患者出现肢体麻木、感觉减退,随访期间均见好转。术后随访6个月～3年,随访期间痉挛缓解率为95%。95%患者行走步态好转。结论周围神经选择性切断术对治疗脑瘫性下肢痉挛是安全、有效的。
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| 关 键 词： | 周围神经 去神经 脑瘫 下肢痉挛 |
Selective peripheral denervation for lower limbs spasm in patients with cerebral palsy |
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| ZHANG Ji-wu,ZHAO Ming,LIANG Shu-li,ZA Wei-guang,TAI Jun-li.Selective peripheral denervation for lower limbs spasm in patients with cerebral palsy[J].Chinese Journal of Clinical Neurosurgery,2010,15(3):135-137. |
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| Authors: | ZHANG Ji-wu ZHAO Ming LIANG Shu-li ZA Wei-guang TAI Jun-li |
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| Institution: | ZHANG Ji-wu,ZHAO Ming,LIANG Shu-li,ZA Wei-guang,TAI Jun-li. Department of Neurosergery,The First Affiliated Hospital,General Hospital of PAL,Beijing 100048,China |
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| Abstract: | Objective To explore the therapeutic effect of selective peripheral denervation on lower limbs spasm in the patients with cerebral palsy. Methods The clinical data of 380 patients with low limbs spasm due to cerebral palsy, who underwent selective peripheral denervation from January, 2003 to March, 2008, were analyzed retrospectively. Based on the position of spasticity, corresponding selective peripheral neurotomy was performed. The nerves which were cut offincluded spinal dorsal root of lumbosacral region... |
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| Keywords: | Peripheral nerve Denervation Cerebral palsy Low limbs spasm |
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