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目的:探讨痉挛性脑瘫手部畸形的手术改进方法,最大限度改善患儿手部的正常功能。方法:采取患儿手部本身原有软组织的肌腱滑行延长和肌内延长方法,达到伸屈腕肌力的平衡恢复手的基本功能位。结果:2006～2011年收治24例手畸形患儿,术后随访1～4年,效果良好,无复发,家长满意。结论:肌力平衡术治疗痉挛性脑瘫手部畸形适合4岁以上并且能主动配合功能锻炼的4岁以上患儿,手足徐动型不排除在指征之外。
Objective: To explore the method of operation improvement of hand deformity in spastic cerebral palsy and to improve the normal function of hand in children. Methods: To take the original soft tissue of children with their own original tendon gliding extension and intramuscular extension method to reach the flexion and extension of the wrist strength of the balance of recovery of the basic functional hand position. Results: From 2006 to 2011, 24 cases of hand-deformed deformity were treated. The patients were followed up for 1 to 4 years. The results were satisfactory and no recurrence was found. Parents were satisfied. Conclusion: Muscle balance treatment of spastic cerebral palsy hand deformity suitable for 4 years of age and can take the initiative with the functional exercise of children over the age of 4, athetosis is not excluded from the indications.