摘要
目的提出一种治疗肢体痉挛性脑瘫的新方法—周围神经侧侧缝合法并探讨其机制。方法6例肢体痉挛性脑瘫患者,采用优势神经与麻痹神经的侧侧缝合法,即将支配痉挛肌群的主要神经干与相对正常的邻近神经干的近端显露后相互靠拢,切开两神经相邻面的神经外膜和束膜1～2cm,切至神经纤维后,再相互并拢缝合束、外膜。结果经4～15个月的随访,所有患者的肢体痉挛、畸形均有明显的缓解,其中5例在不附加额外刺激的情况下,已无痉挛发作,恢复了患肢的主要功能。肢体功能尚随着时间的延长而继续改善。结论周围神经侧侧缝合后,肢体痉挛肌群可获得部分正常的神经支配从而通过改变大脑皮层定位来最终缓解肢体痉挛,是治疗脑瘫的新的有效方法之一。
Objective To discuss a new method and its mechanism for the treatment of spastic cerebral palsy.Methods The6cases were treated by using side to side suture of perfecter nerve and palsy nerve,i.e.injurious nerve trunk was kept abreast of neighbor donor nerve at suitable segment,the epineurium and fascicu of two neighboring area were incised to appear nerve fibers,then side to side anastomosed each other through the epineurium and fascicu.Result All the cases were followed-up for4-15months.The spastic limb and deformity of all the cases had obvious relieve,5cases had no spasm without extra stimulation and had recovered the main function.Conclusion Side toside neuror-rhaphy is a one of new method to treat spastic cerebral palsy.After operation,the spastic muscle could obtain normal never control,thereby,the cervical orientation area is changed.
出处
《实用医药杂志》
2004年第4期300-301,共2页
Practical Journal of Medicine & Pharmacy
基金
青岛市科技计划项目(No.2001KNS-E-1)
