| 孟佑强 薛泳华 浦奔放 华春晖 孙丰兵 刘春 刘开章 黄振宇 李心远.副神经切断联合远端毁损术治疗痉挛性斜颈的临床疗效分析[J].,2016,16(19):3673-3675 |
| 副神经切断联合远端毁损术治疗痉挛性斜颈的临床疗效分析 |
| Analysis of the Clinical Efficacy of Cut Nerve Ablation Treatment ofSpasmodic Torticollis Joint Distal |
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| DOI： |
| 中文关键词: 痉挛性斜颈 Tsui评分法 运动诱发电位 |
| 英文关键词: Spasmodic torticollis Tsui score Motor evoked potentials |
| 基金项目:海市科委科研基金项目(0852nm06600) |
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| 中文摘要: |
| 目的：探讨副神经切断联合远端毁损术治疗痉挛性斜颈的临床疗效。方法：选择2011 年1 月至2014 年1 月我院采用两种
手术方法治疗的痉挛性斜颈患者100 例，其中单纯副神经切断组30 例，副神经切断+神经远端毁损组70 例。所有患者术前、术
后2 周、术后3 月、术后6 月均行Tsui评分评估治疗疗效，同时术后观察是否出现吞咽困难、呼吸困难及发音障碍等严重并发症。
结果：单纯副神经切断组患者术前Tsui 评分平均为(22.14± 2.19)，术后2 周为(15.23± 1.28)，手术前后比较差异有统计学意义(P＜
0.05)。副神经切断+神经远端毁损组患者术前Tsui评分平均为(23.09± 1.23)，术后2 周为(8.23± 0.98)，手术前后比较差异有统计
学意义(P＜0.05)。单纯副神经切断组术后3 月和术后6 月的Tsui 评分分别为(13.03± 1.11)和(11.34± 1.02)，副神经切断+神经远
端毁损组Tsui评分分别为(6.09± 0.25)和(4.41± 0.29)，组间比较差异均有统计学意义(P＜0.05)。术后副神经切断+神经远端毁损
组出现1 例切口感染的患者，予以相应处理后好转，均为出现吞咽困难、呼吸困难及发音障碍等严重并发症，两组患者术后并发
症的比较差异无统计学意义(P＞0.05)。结论：副神经切断联合远端毁损术治疗痉挛性斜颈疗效较单纯副神经切断术好，术后并发
症少，安全性高。 |
| 英文摘要: |
| Objective:To investigate the clinical efficacy of combination cut nerve distal ablation treatment of spasmodic torticollis.Methods:From January 2011 to January 2014, our hospital with two surgical methods of treating 100 patients with spasmodic torticollis,
in which a simple nerve transection group 30 cases, nerve cut off + 70 cases of distal nerve damage group. All patients, after two
weeks, after 3 months, 6 months postoperatively underwent Tsui score to assess the efficacy of treatment, and whether there is a serious
postoperative complication dysphagia, dyspnea and dysphonia like.Results:Patients pure nerve before cutting group Tsui score was
(22.14± 2.19), after two weeks of (15.23± 1.28), before and after surgery was significantly (P<0.05). Cut + nerve distal nerve damage in
patients before surgery Tsui score was (23.09± 1.23), after two weeks of (8.23± 0.98), the difference was statistically significant (P<0.
05). Pure nerve transection group after surgery in March and June respectively Tsui score (13.03± 1.11) and (11.34 ± 1.02), cut off +
nerve distal nerve damage group Tsui scores were (6.09 ± 0.25) and (4.41± 0.29), the difference was statistically significant (P<0.05).
After cutting + nerve distal nerve damage group one case of wound infection in patients appear to be a corresponding improvement in
post-processing, are serious complications of dysphagia, dyspnea and dysphonia and other postoperative complications were compared
the difference was not statistically significant (P>0.05).Conclusion:Cut off the distal nerve ablation therapy combined with spasmodic
torticollis effect than pure nerve transection good, high postoperative remission rate and fewer complications, safety and reliable, worthy
of wide clinical application. |
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