CAJ | 학술논문

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。
목적：관찰경동맥초교감신경망박리술(CPVS)여선택성척신경후근절단술(SPR)치료경련성뇌탄적료효。방법회고성분석11례경련성뇌탄환인재행CPVS화SPR술전、술후1개월림상자료，술후4개월시수방。결과다수환인술후1개월경련정도명현하강，지체운동공능균유불동정도개선。술후4개월수방시，료효은정。결론 CPVS여SPR시치료뇌탄기경련적유효수술방법。
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.