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自从1980年首次报道使用A型肉毒素(BTX)治疗斜视和睑痉挛以来。由于它的安全有效,越来越多地应用于各种痉挛的治疗。本文报告了3例用 BTX治疗痉挛型或手足徐动型脑瘫患者的情况。 病例1 17岁,女,患有严重的手足徐动型脑瘫。为了减少髋关节的活动来减轻疼痛,在左侧髂腰肌、股直肌、臀中肌、臀大肌注射BTX1周后,显著地减轻了左髋关节疼痛。不过,由于存在躯干向左侧倾斜的倾向,在轮椅上采取坐位很困难,坐位时需要支撑。注射BTX后5个月时又出现了左髋部疼痛,并且2周后疼痛明显加剧。徐动在屈髋时更明
Since the first report in 1980 on the use of botulinum toxin type A (BTX) for the treatment of strabismus and blepharospasm. Because of its safe and effective, more and more used in the treatment of various spasms. This article reports 3 cases of BTX treatment of spastic or ataxia cerebral palsy patients. Case 1 17 years old, female, with severe hand, foot and cerebral palsy. In order to reduce the activity of the hip to relieve the pain, left hip joint pain was significantly relieved in the left iliopsoas, rectus femoris, gluteus medius, gluteus maximus injected BTX for 1 week. However, sitting in a wheelchair is difficult due to the tendency of the trunk to lean to the left, requiring support when sitting. Left hip pain appeared again 5 months after injection of BTX, and pain was apparently worsened after 2 weeks. Xu move more obvious when hip flexion