摘要
目的：探究选择性脊神经后根切断术（ＳＰＲ）治疗脑瘫术后并发症的原因与防治办法。方法：对１０３例ＳＰＲ术后进行近期疗效观察与远期随访。结果：在术后近期并发症中主要有肠绞痛、排尿功能障碍、局限性感觉异常或缺失及脑脊液漏。远期并发症为髋关节脱位、脊柱畸形、肌无力。结论：ＳＰＲ术后近期并发症中多为暂时性的，多在术后３周内自愈。而远期并发症则影响治疗效果。
Objective: Selective posterior rhizotomy (SPR) relieves muscular spasm and improves motor function. Complications, especially hypokinesia, are common. The study aims to analyze the causes and formulate effective preventative measures. Methods: 103 patients who had under gone SPR were followedup and the complications were classified. Results: Early complications of SPR included intestinal colic, urinary dysfunction, localized paresthesia and cerebrospinal fluid leak. Late complications included spinal deformity, hip dislocation and hypokinesia. Conclusions: Early complications are temporary and spontaneous recovery after 3 weeks is common. Late complications affect operative results, and proper management and prevention of complications are important.
出处
《中华小儿外科杂志》
CSCD
1998年第5期296-298,共3页
Chinese Journal of Pediatric Surgery
基金
黑龙江省科学技术委员会科学基金
关键词
脑瘫
脊神经后根切断
术后并发症
Cerebral palsy Selective posterior rhizotomy Complications
