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[后根部分切断术及一种新技术——后根部分神经根切断术治疗强直性痉挛(作者译)]

[Posterior partial rhizotomy and a new technique, posterior partial radiclotomy, in the treatment of tonic spasticity (author's transl)].

作者信息

Fraioli B, Guidetti B

出版信息

Riv Patol Nerv Ment. 1975 Mar-Apr;96(2):65-81.

PMID:1228878
Abstract

A comparison between G r o s' technique and a new personal technique, performed in 24 patients suffering from spastic syndromes, offers an opportunity for a reappraisal of Foerster's method of treating spasticity. The best results were obtained in patients with postural spastic disorders. Because the posterior partial rhizotomy did not result in a complete preservation of deep sensation in all patients operated on, it seems questionable whether this technique should be performed in spastic patients who are acquiring (or have already acquired) an independent standing position of deambulation. The technique which we propose, the posterior partial radiclotomy, did not cause any sensory disorder and appears of therapeutic value also and especially in patients suffering from spastic syndromes of moderate degree.

摘要

对24例痉挛综合征患者采用格罗斯(Gros)技术与一种新的个人技术进行比较,为重新评估福斯特(Foerster)治疗痉挛的方法提供了机会。姿势性痉挛障碍患者取得了最佳效果。由于后路部分神经根切断术并非在所有接受手术的患者中都能完全保留深部感觉,因此对于正在获得(或已经获得)独立站立或行走姿势的痉挛患者是否应采用该技术似乎存在疑问。我们提出的技术,即后路部分神经根切断术,未引起任何感觉障碍,并且似乎也具有治疗价值,特别是对于中度痉挛综合征患者。

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