论文部分内容阅读
采用选择性腰骶脊神经后根切断术治疗痉挛型脑瘫40例。本前均有严重下肢肌肉痉挛和肌张力增高,Ashworth分级平均为4级．全部伴有跟膝腱反射亢进、踝阵挛和不同程度的骨炎节畸形．术前25例不能独立行走，扶持行走时步态混乱或至剪刀步态。平均随访8．5个月，肌痉挛解除均较完善，肌张力平均降至1．3级，病理反射全部消失。31例骨炎节畸形矫正良好，9例仍遗留部分残余畸形，系静力性因素所致．25例术前不能行走者，有10例已能独立行走，异常步态矫正满意．
Forty cases of spastic cerebral palsy treated with selective lumbosacral nerve root posterior rhizotomy. Both had severe lower extremity muscle spasms and increased muscle tone, with an average Ashworth grade of 4. All accompanied by knee tendon hyperreflexia, ankle clonus and varying degrees of osteoarthritis. Preoperative 25 cases can not walk independently to support the walking gait disorder or to the scissors gait. After an average follow-up of 8.5 months, muscle spasms were relieved. Muscle tension dropped to 1.3 on average, and all the pathological reflections disappeared. 31 cases of osteomastitis correct orthokeratology, 9 cases still left some residual deformity, the Department of static factors. 25 cases were unable to walk before surgery, 10 cases have been able to walk independently, satisfactory correction of abnormal gait.