《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (2): 167-170.

• 论文 • 上一篇    下一篇

颈动脉交感神经网剥离术结合选择性脊神经后根切断术治疗脑性瘫痪肌痉挛：11例报道

俞梦瑾，黄平兰，叶瑞雄，曲嘉，廖薇娜，张瑶   

  1. 1.深圳市宝安区西乡人民医院，广东深圳市518100；2.深圳市宝安区社会福利中心，广东深圳市518100。
  • 收稿日期:2013-04-15 修回日期:2013-06-09 出版日期:2014-02-25 发布日期:2014-02-25

Combination of Cervical Perivascular Sympathectomy and Selective Posterior Rhizotomy in Spasticity of Cerebral Palsy: 11 Cases Report

YU Meng-jin, HUANG Ping-lan, YE Rui-xiong, et al.   

  1. Xixiang People's Hospital, Shenzhen 518100, Guangdong, China
  • Received:2013-04-15 Revised:2013-06-09 Published:2014-02-25 Online:2014-02-25

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摘要： 目的观察颈动脉鞘交感神经网剥离术(CPVS)与选择性脊神经后根切断术(SPR)治疗痉挛性脑瘫的疗效。方法回顾性分析11 例痉挛性脑瘫患儿在行CPVS和SPR术前、术后1 个月临床资料，术后4 个月时随访。结果多数患儿术后1 个月痉挛程度明显下降，肢体运动功能均有不同程度改善。术后4 个月随访时，疗效稳定。结论CPVS与SPR是治疗脑瘫肌痉挛的有效手术方法。

关键词: 脑性瘫痪, 痉挛, 颈总动脉, 交感神经切除, 脊神经后根切断术

Abstract: Objective To investigate the effect of combined application of cervical perivascular sympathectomy (CPVS) and selective posterior rhizotomy (SPR) on spasticity of cerebral palsy. Methods The data on 11 children with cerebral palsy following spasm who were treated by CPVS and SPR were retrospectively analyzed. Results Spasm of most children relieved significantly 1 month after surgery and limb movement function got notable improvement. The effect was confirmed stable and durable 4 months after surgery. Conclusion CPVS and SPR are effective surgical methods for treating spasticity of cerebral palsy.

Key words: cerebral palsy, spasticity, common carotid artery, sympathectomy, rhizotomy