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目的探讨痉挛性脑瘫外科手术的治疗方式及其临床疗效。方法 2008年6月至2011年6月期间,我院诊治的40例痉挛性脑瘫患者,根据患者的具体情况,分别采取了相应地手术方式进行治疗,对其临床资料进行回顾性分析。结果平均随访12个月,40例痉挛性脑瘫患者痉挛缓解率为95.0%(38/40),术后病理征消失,腱反射亢进状态得到了明显缓解,踝阵挛和髌阵挛也均消失,肌张力也得到了显著改善,生活质量得到了提高,术后随访期间,5例患者出现不同程度的复发。结论对于痉挛性脑瘫患者,外科手术治疗是最为有效的治疗方法,严格按照各种术式的适应证,根据患者的具体情况,选取恰当的手术方式。
Objective To investigate the surgical treatment of spastic cerebral palsy and its clinical efficacy. Methods From June 2008 to June 2011, 40 cases of spastic cerebral palsy treated in our hospital were treated according to the specific conditions of the patients. The clinical data were retrospectively analyzed. Results The average follow-up was 12 months. The remission rate of spasm in 40 patients with spastic cerebral palsy was 95.0% (38/40). The postoperative pathological signs disappeared and the tendon hyperreflexia was relieved. Both ankle clonus and patellar clonus disappeared , Muscle tone has also been significantly improved, quality of life has been improved, during follow-up, 5 patients showed varying degrees of recurrence. Conclusion For spastic cerebral palsy patients, surgical treatment is the most effective treatment, in strict accordance with the indications of various surgical procedures, according to the specific circumstances of patients, select the appropriate surgical approach.