Easton J K, Ozel T, Halpern D
Arch Phys Med Rehabil. 1979 Apr;60(4):155-8.
Intramuscular neutrolysis with phenol has been used for 10 years in the management of spasticity in children. Best results depend on fastidious technique and realistic use of the procedure. Sedation or anesthesia was used in all cases -- 5% phenol in water was used for all procedures. The main indications were spasticity which interfered with function, either actual or potential, or with care. Where uninhibited vestibular or tonic neck reflexes affect muscle tone, or there is dystonia or athetosis, the procedure is less effective than where spasticity alone is present. Duration of relief of spasticity ranged from 1 month to more than 2 years. About one half of the lower extremity muscle treated required tenotomy later. Generally training was required after the procedure to obtain improved function. A representative sample of muscles treated, repeat procedures, and later surgery is discussed. The procedure is recommended for use in the management of spasticity in children as a way of improving function and/or care.
苯酚肌内神经溶解术已用于治疗儿童痉挛10年。最佳效果取决于一丝不苟的技术和对该手术的合理应用。所有病例均使用了镇静或麻醉——所有手术均使用5%的苯酚水溶液。主要适应证为干扰实际或潜在功能或护理的痉挛。若不受抑制的前庭或紧张性颈反射影响肌张力，或存在肌张力障碍或手足徐动症，则该手术的效果不如仅存在痉挛时。痉挛缓解的持续时间从1个月到2年以上不等。约一半接受治疗的下肢肌肉后来需要进行肌腱切断术。一般来说，术后需要进行训练以改善功能。文中讨论了接受治疗的肌肉的代表性样本、重复手术及后续手术情况。推荐将该手术用于治疗儿童痉挛，作为改善功能和/或护理的一种方法。
