CAJ | 학술논문

目的总结并探讨选择性胫神经三头肌肌支部分切断术在治疗痉挛性马蹄足中的应用效果.方法选择自2000年8月-2007年12月于广东省第二人民医院接受选择性胫神经三头肌肌支部分切断术治疗的痉挛性马蹄足畸形42例作为研究对象,其中男性29例,女性13例,对比手术前后下肢肌力、肌张力、病理征的变化,对比手术前、手术后患者姿势以及功能的改变.结果术后平均随访18个月,42例患者采用选择性胫神经三头肌肌支部分切断术治疗后,肌张力降低,踝关节活动改善,下肢功能得到明显改善,随访12个月时有效率为90%.结论选择性胫神经三头肌肌支部分切断术是治疗痉挛性脑瘫患者马蹄畸形的有效方法,该方法手术操作简单,效果可靠,易于在基层医院推广.
목적 총결병탐토선택성경신경삼두기기지부분절단술재치료경련성마제족중적응용효과.방법 선택자2000년8월-2007년12월우광동성제이인민의원접수선택성경신경삼두기기지부분절단술치료적경련성마제족기형42례작위연구대상,기중남성29례,녀성13례,대비수술전후하지기력、기장력、병리정적변화,대비수술전、수술후환자자세이급공능적개변.결과 술후평균수방18개월,42례환자채용선택성경신경삼두기기지부분절단술치료후,기장력강저,과관절활동개선,하지공능득도명현개선,수방12개월시유효솔위90%.결론 선택성경신경삼두기기지부분절단술시치료경련성뇌탄환자마제기형적유효방법,해방법수술조작간단,효과가고,역우재기층의원추엄.
Objective To summarize and explore the clinical value of selective partial neurotomy of muscular branch of triceps in the treatment of spastic talipes equines.Methods Forty-two cases were included in our study from Aug.2000 to Des.2007,all these cases accepted the operation of selective partial neurotomy muscular branch of triceps.In this study,29 cases were male,13 cases were female.Muscle force of legs,muscular tension,pathologic reflex,gesture and function of legs after operation were compared with that of before operation.Results The mean fallow-up was 18 months.During the fallow-up of this study,muscular tension degraded,the function of ankle joints and the gesture of extremitas inferior were improved obviously.The effective power was about 90% after 12 months follow-up.Conclusions Selective partial neurotomy of muscular branch of triceps is a effective method for the treatment of spastic talipes equines.The operation procedure is simple and effective,and could be generalized in the primary level hospital.