选择性脊神经后根切断术改善脑瘫患者下肢功能的研究进展
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作者Author单位AddressE-Mail
徐杰 xujie 北京中医药大学东直门医院骨四科 北京 100700 The Fourth Department of Orthopedics, Dongzhimen Hospital, Beijing University of Traditional Chinese medicine 1158095170@qq.com 
徐林 xulin 北京中医药大学东直门医院骨四科 北京 100700  
曾杰 zengjie 北京中医药大学东直门医院骨四科 北京 100700  
胡传宇 huchuanyu 北京中医药大学东直门医院骨四科 北京 100700  
任敬佩 renjingpei 北京中医药大学东直门医院骨四科 北京 100700  
赵毅 zhaoyi 北京中医药大学东直门医院骨四科 北京 100700  
汪乐 wangle 北京中医药大学东直门医院骨四科 北京 100700  
赵亚林 zhaoyalin 北京中医药大学东直门医院  
穆晓红* muxiaohong 北京中医药大学东直门医院骨四科 北京 100700 The Fourth Department of Orthopedics, Dongzhimen Hospital, Beijing University of Traditional Chinese medicine mxh__2004@163.com 
期刊信息:《中国骨伤》年,第卷,第期,第-页
DOI:
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
中文摘要:脑性瘫痪是一种常见的儿童时期神经系统伤残的临床综合征,其严重影响患儿及家属的生活质量,同时给社会带来沉重的经济负担。国内外学者将选择性脊神经后根切断术应用于痉挛型脑瘫或伴有肢体痉挛的混合型脑瘫的治疗中已有很长的历史。其改善脑瘫患者下肢痉挛疗效确切,且极少出现复发现象。术后脑瘫患者在结合康复治疗后,其肌力较前明显提高,关节活动度在术后即可出现明显改善,且中长期随访未见关节活动度疗效未见反弹,患者整体步态得到长期明显改善。笔者认为选择性脊神经后根切断术在改善脑瘫患者下肢运动功能方面疗效显著,值得推广。但必须遵循术前选择合适的病例,术中精细操作,术后及时有效康复治疗的原则,才能使其疗效更佳。
【关键词】选择性脊神经后根切断术  下肢运动功能  肌力  关节活动度  步态
 
Advances in research on lower limb function in patients with cerebral palsy after selective posterior rhizotomy
ABSTRACT  BSTRCTS Cerebral palsy is a common clinical syndrome of neurological disability in childhood, which seriously affects the quality of life of children and their families, and brings a heavy economic burden to society. Domestic and foreign scholars have a long history of the application of selective posterior rhizotomy for the treatment of spastic cerebral palsy or mixed cerebral palsy with limb paralysis. It is effective in improving the lower extremity spasm of patients with cerebral palsy, and there is very little recurrence. After combined with rehabilitation therapy, the muscle strength of patients with cerebral palsy was significantly improved compared with the previous one. The joint mobility was significantly improved after operation, and there was no rebound in the long-term follow-up without joint activity. The overall gait of the patient was long-term significant improvement. The author thought that selective posterior rhizotomy is effective in improving the motor function of lower limbs in patients with cerebral palsy. It is worth promoting. However, it is necessary to follow the principle of selecting appropriate cases before surgery, precise operation during operation, and timely and effective rehabilitation treatment after surgery, in order to make the curative effect better.
KEY WORDS  selective  posterior rhizotomy, lower  limb motor  function, muscle  strength ,Joint  mobility, gait
 
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