| 改良内收肌转移术治疗痉挛性脑瘫的疗效观察 |
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投稿时间：2002-10-08 修订日期：2003-02-22
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| 作者 | Author | 单位 | Address | E-Mail |
| 张德强 |
ZHANG Deqiang |
苏州大学附属儿童医院骨外科,江苏 苏州 215003 |
The Affiliated Children’s Hospital of Suzhou UniversityJiangsu Suzhou , 215003, China |
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| 张锡庆 |
ZHANG Xiqing |
苏州大学附属儿童医院骨外科,江苏 苏州 215003 |
The Affiliated Children’s Hospital of Suzhou UniversityJiangsu Suzhou , 215003, China |
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| 王科文 |
WANG Kewen |
苏州大学附属儿童医院骨外科,江苏 苏州 215003 |
The Affiliated Children’s Hospital of Suzhou UniversityJiangsu Suzhou , 215003, China |
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| 王晓东 |
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苏州大学附属儿童医院骨外科,江苏 苏州 215003 |
The Affiliated Children’s Hospital of Suzhou UniversityJiangsu Suzhou , 215003, China |
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| 郝敬东 |
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苏州大学附属儿童医院骨外科,江苏 苏州 215003 |
The Affiliated Children’s Hospital of Suzhou UniversityJiangsu Suzhou , 215003, China |
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| 期刊信息：《中国骨伤》2003年，第16卷，第12期，第708-710页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:观察内收肌转移术治疗痉挛性脑瘫髋内收畸形的疗效。
方法:7例痉挛性脑瘫患儿行13侧改良内收肌转移术。男5例,女2例,年龄从4岁1个月到10岁6个月,平均7岁3个月。采用术后髋关节外展角度、畸形复发率、行走能力SI预测对结果进行评价。
结果:随访14～37个月,平均24.5个月,所有病例髋关节外展均有明显改善,平均外展角度60°;随访中未见复发;行走能力改善基本符合SI预测。
结论:改良内收肌转移术是治疗痉挛性脑瘫髋内收畸形有效的手术方法。 |
| 【关键词】脑性瘫痪 移植术 组织 畸形 |
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| Clinical observation on the therapeutical effectiveness of modified adductor muscular transfer for the treatment of spastic cerebral paralysis |
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ABSTRACT
Objective:To observe the therapeutical effectiveness of modified adductor muscular transfer for the treatment of adductive deformity of hip joint of patients, attacked with spastic cerebral paralysis patients.
Methods:13 hips of 7 patients with spastic cerebral paralysis were treated with modified adductor muscular transfer. The ages of the cases ranged from 4 years and 1 month to 10 years and 6 months, with an average of 7 years and 3 months. The abduction improvement,recurrence rate of deformity and the ambulatory prediction with SI were evaluated for the results.
Results:The cases had been followed up from 14 months to 37 months,with an average of 24.5 months. All the patients received significant improvement of hip abduction with an average of abduction angle of 60 degree. No recurrence had been observed during the period of follow-up and the improvement of ambulation ability nearly kept with the prediction with SI.
Conclusion:Modified adductor muscular transfer is an effective method for the treatment of adductive deformity of hip joint of patients with spastic cerebral paralysis. |
| KEY WORDS Cerebral palsy Grafting, tissue Abnormalities |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张德强,张锡庆,王科文,王晓东,郝敬东.改良内收肌转移术治疗痉挛性脑瘫的疗效观察[J].中国骨伤,2003,16(12):708~710 |
| 英文格式: | ZHANG Deqiang,ZHANG Xiqing,WANG Kewen.Clinical observation on the therapeutical effectiveness of modified adductor muscular transfer for the treatment of spastic cerebral paralysis[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(12):708~710 |
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