CAJ | 학술논문

目的总结选择性腰骶神经后根切断术(SPR手术)治疗脑性下肢瘫的临床经验.方法对1994年4月至2005年6月SPR手术随诊2年以上的 52 例脑性下肢瘫患儿进行回顾性分析.结果术后随诊2～10年(平均4年2个月),49 例增高的肌张力缓解,步态改善;2 例增高的肌张力得到了缓解,但步态无明显改善;1 例发生轻度膝反屈.没有发生切口感染、脑脊液漏及脊柱失稳等并发症者.结论严格掌握手术适应证,相关节段与侧别之高兴奋性(低阈值)脊神经后根小束切断比例的合适与选择正确,持之以恒的康复训练是取得良好手术效果的关键.
목적 총결선택성요저신경후근절단술(SPR수술)치료뇌성하지탄적림상경험.방법 대1994년4월지2005년6월SPR수술수진2년이상적 52 례뇌성하지탄환인진행회고성분석.결과 술후수진2～10년(평균4년2개월),49 례증고적기장력완해,보태개선;2 례증고적기장력득도료완해,단보태무명현개선;1 례발생경도슬반굴.몰유발생절구감염、뇌척액루급척주실은등병발증자.결론 엄격장악수술괄응증,상관절단여측별지고흥강성(저역치)척신경후근소속절단비례적합괄여선택정학,지지이항적강복훈련시취득량호수술효과적관건.
Objective To review our preliminary experience of sacral posterior rhizotomy (SPR) operation for treating spastic cerebral palsy of lower limb. Methods From January 1994 to June 2005, 52 patients of lower limb spastic cerebral palsy underwent selective lumbosacral posterior rhizotomies. The results of followed-up were retrospectively analyzed. Results The patients wire followed up for 2- 10 Years (mean 4. 2 years), post-operatively. There were 49 patients with both spastivity reduction and gait improvement,2 patients with spastivity reduction, but without gait improvement and 1 patient with genu recurvature. Wound infection, leakage of cerebrospinal fluid or unstability of lumbar column was not detected post-operatively. Conclusions Clear indication, accurate localization of the affected seg- ment are the key to successful outcome.