摘要
目的探讨颈动脉外膜交感神经剥离术治疗重症脑瘫及其并发损害的疗效。方法回顾分析显微手术剥离颈动脉外膜交感神经治疗重症脑瘫204例病例。结果187例获得随访(91.7%)。随访期间症状好转率扭转痉挛及紧张性痉挛为74.4%,手足徐动为42%,智能语言障碍为63.6%,流涎81.6%,斜视27.6%,吞咽进食困难88%;日常生活动作能力提高43.8%;总显效率82.7%。结论显微手术剥离颈动脉外膜交感神经是治疗重症脑瘫的有效方法。
Objective To study the effects of carotid sympathectomy on symptom or intercurrent damage of refractory cerebral palsy. Methods 204 cases with cerebral palsy of mixed type and with intercurrent damage were treated with bilateral carotid sympathectomy. Results 187 cases （91.7%） were followed up successfully, which showed 74.4% of torsion or tension spasm, 42% of athetosis, 63.6% of cognition language disturbance, 81.6% of sialorrhoea, 27.6% of strabismus and 88% of deglutition handicap improved. The scores of activity of daily living improved 43.8%. The total incidents effective rate was 82. 7%. Conclusion Carotid sympathectomy is an effective and safe microsurgery method for the symptom or intercurrent damage of the refractory cerebral palsy.
出处
《中国康复理论与实践》
CSCD
2008年第9期858-859,共2页
Chinese Journal of Rehabilitation Theory and Practice
基金
清华-裕元医学科学研究基金(20240000562)
作者简介
王世杰（1962-），男，吉林吉林市，博士，副主任医师，主要研究方向：功能神经外科及脑性瘫痪的外科治疗。
