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目的 :观察和了解选择性腰骶神经后根切断术 (SPR)治疗痉挛性脑瘫后的反应和并发症。方法 :通过对 2 0 9例以下肢痉挛为主的脑瘫患者行 L2 ～ S1 SPR后的观察和随访 ,对术后不良反应和并发症作了分析和研究。 结果 :出现 9例 (4.3% )较为严重的并发症 ,包括支气管痉挛、骨盆倾斜并发症、癫发作和脊柱前突增加。其他并发症有高热、血尿、脑脊液漏、腹胀痛和腿乏力等。 结论 :SPR能有效地解除痉挛 ,但会带来许多并发症 ,应严格掌握手术适应证 ,采取积极有效的预防措施 ,才能减少和避免术后不良反应和并发症的发生。
Objective: To observe and understand the response and complications of selective lumbosacral nerve root posterior rhizotomy (SPR) in the treatment of spastic cerebral palsy. Methods: The postoperative adverse reactions and complications were analyzed and studied through the observation and follow-up of 209 cases of cerebral palsy patients with mainly lower extremity spasm after L2 ~ S1 SPR. RESULTS: Nine (4.3%) of the more serious complications occurred, including bronchospasm, pelvic tilt complications, epileptic seizures and increased pronation. Other complications are fever, hematuria, cerebrospinal fluid leakage, abdominal pain and leg fatigue and so on. Conclusion: SPR can effectively relieve spasm, but it will bring many complications. Strict indications of surgical indications and active and effective preventive measures should be taken to reduce and avoid postoperative adverse reactions and complications.