| 胫神经肌支切断术治疗脑瘫痉挛性马蹄内翻足 |
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Received:September 23, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 穆晓红 |
MU Xiao-hong |
北京中医药大学,北京 100029 |
Department of Center Orthopaedics,Dongzhimen Hospital,Beijing University of Chinese Medical,Beijing 100700,China |
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| 徐林 |
XU Lin |
北京中医药大学东直门医院骨科中心 |
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| 许世刚 |
XU Shi-gang |
北京中医药大学东直门医院骨科中心 |
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| 曹旭 |
CAO Xu |
北京中医药大学东直门医院骨科中心 |
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| 张鹏 |
ZHANG Peng |
北京中医药大学东直门医院骨科中心 |
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| 郑晨颖 |
ZHENG Chen-ying |
北京中医药大学东直门医院骨科中心 |
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| 陈江 |
CHEN Jiang |
北京中医药大学,北京 100029 |
Department of Center Orthopaedics,Dongzhimen Hospital,Beijing University of Chinese Medical,Beijing 100700,China |
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| 李小平 |
LI Xiao-ping |
北京中医药大学,北京 100029 |
Department of Center Orthopaedics,Dongzhimen Hospital,Beijing University of Chinese Medical,Beijing 100700,China |
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| 期刊信息：《中国骨伤》2009年22卷，第1期，第31-32页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：评价胫神经肌支切断术治疗脑瘫痉挛性马蹄内翻足的疗效。
方法：52例痉挛型脑瘫SPR术后马蹄内翻足畸形患者，男33例(38足),女19例(26足);年龄6～10岁，平均7.8岁。Ashworsh 分级：Ⅲ级34例，Ⅳ级18例；踝阵挛阳性者42例。采用胫神经肌支切断术治疗。
结果： 随访1～3年，平均2.6年，痉挛步态明显改善，畸形均无复发。根据足部畸形矫正程度及患者的满意程度进行综合判定：优32例，良14例，差6例。
结论：胫神经肌支切断术治疗小儿脑瘫痉挛性马蹄内翻足是一种安全、有效的手术方法。 |
| [关键词]:脑性瘫痪 胫神经 马蹄内翻足 |
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| Treatment of equinovarus caused by cerebral palsy with neurotomy of muscular branch of tibial nerve |
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Abstract:
Objective: To evaluate clinical effect of neurotomy of muscular branch of tibial nerve for the treatment of equinovarus caused by cerebral palsy.
Methods: Fifty-two cases of equinovarus caused by cerebral palsy were treated with neurotomy of muscular branch of tibial nerve. The male was 33(38 feet) and the female 19(26 feet) with the average age of 7.8 years old (from 6 to 10). The muscular tension according to Ashworsh grade,34 cases were grade Ⅲ and 18 cases were grade Ⅳ。 The ankle clonus was positive in 42 cases.
Results: All cases were followed up for 1-3 years with the average of 2.6 years. The spastic gait of cases had obviously improved and abnormity had no recurred. According to corrective degree of abnormity and satisfactive condition of patients,evaluation of the effect were excellent in 32 cases,good in 14,poor in 6.
Conclusion: Neurotomy of muscular branch of tibial nerve is the safe and effective method for the treatment of equinovarus caused by cerebral palsy. |
| KEYWORDS:Cerebral palsy Tibial nerve Equinovarus |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 穆晓红,徐林,许世刚,曹旭,张鹏,郑晨颖,陈江,李小平.胫神经肌支切断术治疗脑瘫痉挛性马蹄内翻足[J].中国骨伤,2009,22(1):31~32 |
| 英文格式: | MU Xiao-hong,XU Lin,XU Shi-gang,CAO Xu,ZHANG Peng,ZHENG Chen-ying,CHEN Jiang,LI Xiao-ping.Treatment of equinovarus caused by cerebral palsy with neurotomy of muscular branch of tibial nerve[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(1):31~32 |
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