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目的：观察选择性脊神经后根切断术（ＳＰＲ）治疗痉挛性脑瘫的疗效。方法：根据２０６例痉挛性脑瘫患者术前情况将患者分为轻度（独立行走）、中度（扶持下行走）和重度（不能行走）３组，均施行ＳＰＲ术。术后平均随访时间２年８个月，有随访的１７２例，观察痉挛解除情况并进行功能评定。结果：术后７１例轻度患者中有４５例能单腿站立，占６３．４％。７４例中度患者中有３２例能在室内脱手行走，占４３．２％。２７例重度患者中有８例能扶持下行走，占２９．６％。结论：ＳＰＲ可有效地治疗痉挛性脑瘫
Objective: To observe the effect of selective posterior rhizotomy (SPR) on spastic cerebral palsy. Methods: According to the preoperative situation of 206 patients with spastic cerebral palsy, the patients were divided into mild (independent walking), moderate (supportive walking) and severe (unable to walk) 3 groups. All patients underwent SPR. The mean follow-up time was 2 years and 8 months after operation. There were 172 cases followed up, and the spasticity was observed and functional assessment was performed. Results: Of 71 mild cases, 45 cases could stand on one leg, accounting for 63.4%. Thirty-two of 74 moderate cases were able to walk indoors, accounting for 43.2%. Eight of 27 severe cases were able to walk under the support, accounting for 29.6%. Conclusion: SPR can effectively treat spastic cerebral palsy