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目的探讨选择性腰段脊神经后根切断术(selective posteior rhizotomy,SPR)治疗儿童下肢痉挛性脑瘫的疗效。方法回顾分析采用SPR手术治疗26例儿童痉挛性脑瘫患儿手术效果。结果 26例患者术后均有明显肌张力下降,痉挛解除率达100%,部分患儿同时伴有上肢痉挛、流涎、斜视、癫痫及言语障碍等症状有所改善。结论选择性脊神经后根切断是治疗脑瘫安全有效的手术方法,术后坚持长期康复训练是保证疗效的关键。
Objective To investigate the curative effect of selective posteior rhizotomy (SPR) on spastic cerebral palsy in children with lower limbs. Methods Retrospective analysis of surgical treatment of 26 children with spastic cerebral palsy using SPR surgery. Results All of the 26 patients had obvious hypotonia and 100% spasticity after operation. Some of the patients were accompanied by upper extremity spasms, salivation, strabismus, epilepsy and speech impairment. Conclusion Selective posterior rhizotomy is a safe and effective surgical treatment for cerebral palsy. It is the key to ensure long-term rehabilitation after long-term rehabilitation training.