Li Wenjun, Wang Shufeng
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Mar 15;39(3):259-263. doi: 10.7507/1002-1892.202501021.
Central limb spasticity is a common complication after central nervous system injury, in which hand flexion spasticity often leads to the loss of the patient's ability to move. Reducing muscle tone and relieving spasticity are the prerequisites for restoring limb function. T rhizotomy, which has been proposed in recent years, has proven to be effective in the treatment of central hand flexion spasticity. This consensus summarizes the etiology, symptoms, functional assessment of central hand flexion spasticity, and surgical indications for T rhizotomy, surgical principles and procedures, and rehabilitation program. The standardized protocol of T rhizotomy for the treatment of central hand flexion spasticity is proposed for the reference of clinicians in the process of diagnosis and treatment, with the aim of further improving the treatment level for central hand flexion spasticity.
中枢性肢体痉挛是中枢神经系统损伤后常见的并发症，其中手部屈曲痉挛常导致患者运动能力丧失。降低肌张力和缓解痉挛是恢复肢体功能的前提条件。近年来提出的T型神经根切断术已被证明在治疗中枢性手部屈曲痉挛方面有效。本共识总结了中枢性手部屈曲痉挛的病因、症状、功能评估、T型神经根切断术的手术指征、手术原则及步骤以及康复方案。提出了T型神经根切断术治疗中枢性手部屈曲痉挛的标准化方案，供临床医生在诊疗过程中参考，旨在进一步提高中枢性手部屈曲痉挛的治疗水平。
