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脑瘫患者的盆腔内闭孔神经切除术

Intrapelvic obturator neurectomy in cerebral palsy.

作者信息

Sharma S, Mishra K S, Dutta A, Kulkarni S K, Nair M N

出版信息

Indian J Pediatr. 1989 Mar-Apr;56(2):259-65. doi: 10.1007/BF02726621.

DOI:10.1007/BF02726621
PMID:2807453
Abstract

Results of 202 obturator neurectomies including 190 intrapelvic and 8 extrapelvic obturator neurectomies in 100 patients were evaluated. Obturator neurectomy, intrapelvic in particular, yielded gratifying results in properly selected patients. It controlled adductor spasticity, scissoring, improved perineal care and helped the patients in sitting and early ambulation. Pre- and post-operative intensive physiotherapy was necessary to get maximum benefit of the surgery. Poor motor status, low IQ, athetosis and inadequate post-operative care had adverse effect on final outcome.

摘要

对100例患者进行的202例闭孔神经切除术的结果进行了评估,其中包括190例盆腔内闭孔神经切除术和8例盆腔外闭孔神经切除术。闭孔神经切除术,尤其是盆腔内闭孔神经切除术,在适当选择的患者中产生了令人满意的结果。它控制了内收肌痉挛、交叉步态,改善了会阴护理,并帮助患者坐立和早期行走。术前和术后的强化物理治疗对于获得手术的最大益处是必要的。运动状态差、智商低、手足徐动症和术后护理不足对最终结果有不利影响。

相似文献

1
Intrapelvic obturator neurectomy in cerebral palsy.脑瘫患者的盆腔内闭孔神经切除术
Indian J Pediatr. 1989 Mar-Apr;56(2):259-65. doi: 10.1007/BF02726621.
2
Insufficiency of the hip adductor after anterior obturator neurectomy in 42 children with cerebral palsy.42例脑性瘫痪患儿行闭孔神经前支切断术后髋内收肌功能不全
J Pediatr Orthop. 1986 Nov-Dec;6(6):686-92. doi: 10.1097/01241398-198611000-00008.
3
Adductor tenotomy-obturator neurectomy.内收肌切断术 - 闭孔神经切除术
J Pediatr Orthop. 1984 Jan;4(1):48-51. doi: 10.1097/01241398-198401000-00011.
4
Hip adductor transfer compared with adductor tenotomy in cerebral palsy.脑性瘫痪中髋内收肌转移术与内收肌切断术的比较
J Bone Joint Surg Am. 1981 Jun;63(5):767-72.
5
Results and complications of adductor tenotomy and obturator neurectomy in cerebral palsy.脑性瘫痪中内收肌切断术和闭孔神经切除术的结果及并发症
Clin Orthop Relat Res. 1967 Sep-Oct;54:61-73.
6
Adductor tenotomy and selective obturator neurectomy for the treatment of spasticity in a man with paraplegia.内收肌切断术和选择性闭孔神经切除术治疗一名截瘫男性的痉挛状态。
J Spinal Cord Med. 2013 Jan;36(1):36-9. doi: 10.1179/2045772312Y.0000000022.
7
[Results of obturator neurectomy in spastic paralysis].
Chir Narzadow Ruchu Ortop Pol. 1972;37(5):577-81.
8
Clinical and electromyographic evaluation of obturator neurectomy in severe spasticity.
Paraplegia. 1987 Oct;25(5):394-6. doi: 10.1038/sc.1987.69.
9
An improved approach for obturator neurectomy for cerebral spastic paralysis.一种改良的大脑性痉挛性瘫痪闭孔神经切除术方法。
J Bone Joint Surg Am. 1970 Dec;52(8):1693-4.
10
Microsurgical selective peripheral neurotomy in the treatment of spasticity in cerebral-palsy children.显微外科选择性周围神经切断术治疗脑瘫患儿痉挛
Stereotact Funct Neurosurg. 1997;69(1-4 Pt 2):251-8. doi: 10.1159/000099884.

本文引用的文献

1
Pathological changes in the hip in cerebral palsy: incidence, pathogenesis, and treatment: a preliminary report.脑瘫患儿髋关节的病理改变:发病率、发病机制及治疗:初步报告
J Bone Joint Surg Am. 1962 Oct;44-A:1331-411.
2
Surgical treatment of cerebral palsy.脑瘫的外科治疗
J Bone Joint Surg Br. 1962 Feb;44-B:68-81. doi: 10.1302/0301-620X.44B1.68.
3
Adductor myotomy and obturator neurectomy for the correction of adduction contracture of the hip in cerebral palsy.内收肌切断术和闭孔神经切除术用于矫正脑瘫患儿的髋关节内收挛缩。
J Bone Joint Surg Am. 1960 Jan;42-A:111-26.
4
Combined adductor-gracilis tenotomy and selective obturator-nerve resection for the correction of adduction deformity of the hip in children with cerebral palsy.联合内收肌-股薄肌肌腱切断术与选择性闭孔神经切除术矫正脑瘫患儿髋关节内收畸形
J Bone Joint Surg Am. 1957 Oct;39-A(5):1087-90.
5
Long-term results of orthopaedic surgery in cerebral palsy.脑瘫矫形外科手术的长期疗效
J Bone Joint Surg Am. 1957 Jan;39-A(1):53-9.
6
Adductor tenotomy-obturator neurectomy.内收肌切断术 - 闭孔神经切除术
J Pediatr Orthop. 1984 Jan;4(1):48-51. doi: 10.1097/01241398-198401000-00011.
7
The use and abuse of obturator neurectomy.闭孔神经切除术的应用与滥用
Dev Med Child Neurol. 1966 Apr;8(2):203-5. doi: 10.1111/j.1469-8749.1966.tb01727.x.