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[选择性脊神经后根切断术治疗小儿脑性瘫痪患者痉挛状态的应用]

[The use of selective dorsal rhizotomy for treating spasticity in patients with infantile cerebral palsy].

作者信息

Shevelev I N, Shabalov V A, Artarian A A, Safronov V A, Stepanenko A Iu

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1996 Jul-Sep(3):19-22.

PMID:8975509
Abstract

The paper gives the results of using selective dorsal rhizotomy at the lumbosacral level in 15 children with infantile cerebral paralysis, 12 of whom were at the age of 6 to 15 years. It also discusses surgical techniques, the use of intraoperative stimulation, and the impact of selective dorsal rhizotomy on muscle tone. The paper provides evidence for the benefits of surgery reducing the muscle tone at the expense of its spastic component. Based on the relationship between the number of cut fibers as part of each root and the degree of decreased muscle tone, a procedure is proposed for conservative surgical interventions to be used in patients employing spasticity for support.

摘要

本文给出了在15例小儿脑性瘫痪患儿的腰骶水平进行选择性背根切断术的结果,其中12例患儿年龄在6至15岁。本文还讨论了手术技术、术中刺激的应用以及选择性背根切断术对肌张力的影响。本文提供了证据,证明手术以降低痉挛性成分为代价降低肌张力是有益的。基于作为每一根神经一部分的切断纤维数量与肌张力降低程度之间的关系,提出了一种用于以痉挛为支撑的患者的保守性手术干预程序。

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