| 胫神经缩窄术治疗脑瘫痉挛性马蹄内翻足康复学评定 | |
| 王世杰 ; 庞红 ; 王东 ; 李鲁平 ; 左焕琮 ; WANG Shijie ; PANG Hong ; WANG Dong | |
| 2010-06-09 ; 2010-06-09 | |
| 关键词 | 脑瘫 痉挛 马蹄内翻足 胫神经缩窄术 肌张力评定 关节活动度 cerebral palsy spasticity equinovarus tibial neurotomy Ashworth score range of motion R726.5 |
| 其他题名 | Rehabilitative evaluation of tibial neurotomy for the treatment of equinovarus in children with cerebral palsy |
| 中文摘要 | 目的:利用康复学评定指标,探讨胫神经缩窄术治疗脑瘫痉挛性马蹄内翻足的有效性。方法:对26例脑瘫患儿的41只痉挛性马蹄内翻足进行胫神经缩窄术治疗。分别在手术前、术后1周、术后半年和术后1年,用肌张力分级(Ashworthscore)、关节活动度(ROM)、粗大运动功能评估量表(GMFM)和患儿家长满意度分别进行评定。结果:所有病例随访6个月—1年2个月,平均9.6个月。术后肌张力增高,踝关节活动范围和内翻畸形有明显改善。通过康复训练,粗大运动能力改善于手术后半年显现。结论:胫神经缩窄术对治疗脑瘫痉挛性马蹄内翻足具有较高的实用价值。手术后及时、正规的康复训练对提高治疗效果具有重要的意义。; Objective:To evaluate the effect of the tibial neurotomy and rehabilitation for the treatment of equinovarus in cerebral palsy children. Method:41 tibial neurotomies were done in 26 cases of cerebral palsy children with equinovarus, and evaluated with Ashworth scoring,ROM joint movement evaluation,Gross motor function measure,and satisfactory grade of the parents before and after operation.Result:All patients were followed up from 6 to 14 months(means 9.6 months).The tibial neurotomy were improved spasticity,dorsiflexion of ankle and talipes aquinovarus.The improvement of gross motor function was appeared after operation at six months. Conclusion:Tibial neurotomy has a high utility value in treating equinovarus in children with cerebral palsy.The postoperational rehabilitation has an important meaning for advancing the effect. |
| 语种 | 中文 ; 中文 |
| 内容类型 | 期刊论文 |
| 源URL | [http://hdl.handle.net/123456789/58563]  |
| 专题 | 清华大学 |
| 推荐引用方式 GB/T 7714 | 王世杰,庞红,王东,等. 胫神经缩窄术治疗脑瘫痉挛性马蹄内翻足康复学评定[J],2010, 2010. |
| APA | 王世杰.,庞红.,王东.,李鲁平.,左焕琮.,...&WANG Dong.(2010).胫神经缩窄术治疗脑瘫痉挛性马蹄内翻足康复学评定.. |
| MLA | 王世杰,et al."胫神经缩窄术治疗脑瘫痉挛性马蹄内翻足康复学评定".(2010). |
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