[1]王凤鹿　陈明生　赵海康.腰骶部FSPR治疗脑卒中所致下肢痉挛性瘫痪的临床疗效[J].中国临床神经外科杂志,2018,(08):535-536.[doi:doi:10.13798/j.issn.1009-153X.2018.08.008]
　WANG Feng-lu,CHEN Ming-sheng,ZHAO Hai-kang..Clinical effects of functional selective rhizotomy on lower limb spastic paralysis in patients with stroke[J].,2018,(08):535-536.[doi:doi:10.13798/j.issn.1009-153X.2018.08.008]
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腰骶部FSPR治疗脑卒中所致下肢痉挛性瘫痪的临床疗效()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年08期
页码:
535-536
栏目:
论著
出版日期:
2018-08-25

文章信息/Info

Title:
Clinical effects of functional selective rhizotomy on lower limb spastic paralysis in patients with stroke
文章编号:
1009-153X（2018）08-0535-02
作者:
王凤鹿　陈明生　赵海康
作者单位：710038 西安，西安医学院第二附属医院神经外科（王凤鹿、陈明生、赵海康）
Author(s):
WANG Feng-lu;  CHEN Ming-sheng;  ZHAO Hai-kang.
Department of Neurosurgery, The Second Affiliated Hospital, Xi’an Medical University, Xi’an 710038, China
关键词:
脑卒中; 下肢痉挛性瘫痪; 选择性脊神经后根部分切断术; 疗效
Keywords:
Stroke;  Spastic paralysis;  Functional selective rhizotomy;  Gait analysis
分类号:
R 742.3; R 651.1+1
DOI:
doi:10.13798/j.issn.1009-153X.2018.08.008
文献标志码:
A
摘要:
目的 探讨腰骶部功能性选择性脊神经后根部分切断术（FSPR）治疗脑卒中所致下肢痉挛性瘫痪的疗效。方法 回顾性分析2015年3月至2017年3月腰骶部FSPR治疗的35例脑卒中所致下肢痉挛性瘫痪的临床资料。结果 术后12个月肌张力[（1.3±0.4）级]较术前[（3.5±0.3）级]明显降低（P<0.01）。术后6个月肌力[（3.71±0.18）级]和术后12个月肌力[（3.84±0.22）级]较术前[（3.24±0.23）级]均明显提高（P<0.05）。术前不能独立行走16例中，术后10例可独立行走，6例扶持下行走能力得到不同程度改善；19例可行走但步态不稳病人术后行走步态稳定，步幅增大，步速加快。术后6、12个月步频、步长、步速较术前均明显改善（P<0.01)。13例术后出现肢体麻木，大部分1周内缓解，1~3个月后均消失。无脊柱侧弯、腰椎滑脱等并发症。结论 腰骶部FSPR治疗脑卒中所致下肢痉挛性瘫痪，结合术后规范康复训练，可降低肌张力，提高肌力，改善步态，疗效满意。
Abstract:
Objective To investigate the clinical effects of functional selective rhizotomy (FSR) on lower limb spastic paralysis caused by stroke. Methods The clinical data of 35 stroke patients with spastic paralysis of lower limbs (including 22 patients with cerebral hemorrhage and 13 with cerebral infarction) treated with FSR in our hospital from March, 2015 to March, 2017 were analyzed retrospectively. Results All the patients were followed up for 12~18 months [mean, (14.5±1.5) months]. The muscular tension [(1.3±0.4) grades] was significantly lower 6 months after the operation than that [(3.5±0.3) grades] before the operation in these 35 patients. The muscle power 6 and 12 months after the operation [(3.71±0.18) and (3.84±0.22) grades] was significantly higher than that [(3.24±0.23) grades] before the operation (P<0.05). Gait analysis showed that the frequency, length and velocity of walking were significantly improved 6 and 12 months after the operation compared to those before the operation (P<0.05). Thirteen patients felt numb in their lower limbs after the operation and the numb symptom disappeared in these patients 1~3 months after the operation. Conclusion The FSR combined with postoperative standardized rehabilitation training can reduce spastic paralysis of the lower limbs and muscular tension and improve gait and the quality of life in the stroke patients with lower limb spastic paralysis.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：赵海康，E-mail：zby0910@163.com
更新日期/Last Update: 2018-09-07