中枢性痉挛瘫的外科治疗进展:从传统手术到神经调控技术

张潇予1 ,高海峰2 ,贾云晓1 ,刘正旺1 ,满逸迪1 ,高峰2 ,李军2

神经损伤与功能重建 ›› 2026, Vol. 21 ›› Issue (5) : 286-289.

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神经损伤与功能重建 ›› 2026, Vol. 21 ›› Issue (5) : 286-289. DOI: 10.16780/j.cnki.sjssgncj.20241175
综述

中枢性痉挛瘫的外科治疗进展:从传统手术到神经调控技术

  • 张潇予1 ,高海峰2 ,贾云晓1 ,刘正旺1 ,满逸迪1 ,高峰2 ,李军2
作者信息 +

Progress in Surgical Treatment of Central Spastic Palsy: from Traditional Surgery toNeuromodulation Techniques

  • ZHANG Xiaoyu1 ,GAO Haifeng2 ,JIA Yunxiao1 ,LIU Zhengwang1 ,MAN Yidi1 ,GAO Feng2 ,LI Jun2
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文章历史 +

摘要

痉挛是一种由牵张反射高兴奋性所致的、以速度依赖的紧张性牵张反射增强伴腱反射亢进为特征 的运动障碍,是上运动神经元损伤患者常见的并发症。对于药物和物理治疗效果不佳的重度痉挛患者, 手术疗法是有效的治疗手段。为了保证手术的顺利进行和良好效果,术前应对患者进行专业的评估。本 文总结了周围神经手术及新兴神经调控技术在痉挛治疗领域的应用及展望。这些技术旨在通过降低肌 张力、重新建立损伤部位与大脑的连接,改善患者的痉挛状态,促进大脑可塑性,对提升患者的生活质量 具有重要意义。

Abstract

Spasticity is a movement disorder caused by the high excitability of the stretch reflex, which is characterized by the speed-dependent enhancement of the tonic stretch reflex with tendon hyperreflexia. It is a common complication in patients with upper motor neuron injury. Surgical treatment is an effective treatment for patients with severe spasticity who fail to respond to drug and physical therapy. In order to ensure the smooth operation and good effect, the patient should be professionally evaluated before operation. This article summarizes the application and prospect of peripheral nerve surgery and emerging neuromodulation techniques in the field of spasm treatment. These techniques aim to improve the spasticity of patients and promote brain plasticity by reducing muscle tension and re-establishing the connection between the injured site and the brain, which is of great significance to improve the quality of life of patients.

关键词

中枢性痉挛瘫;痉挛;周围神经手术;神经调控技术;康复

Key words

central spastic palsy; spasms; peripheral nerve surgery; neuromodulation techniques; rehabilitation

引用本文

导出引用
张潇予1 ,高海峰2 ,贾云晓1 ,刘正旺1 ,满逸迪1 ,高峰2 ,李军2. 中枢性痉挛瘫的外科治疗进展:从传统手术到神经调控技术[J]. 神经损伤与功能重建. 2026, 21(5): 286-289 https://doi.org/10.16780/j.cnki.sjssgncj.20241175
ZHANG Xiaoyu1 ,GAO Haifeng2 ,JIA Yunxiao1 ,LIU Zhengwang1 ,MAN Yidi1 ,GAO Feng2 ,LI Jun2. Progress in Surgical Treatment of Central Spastic Palsy: from Traditional Surgery toNeuromodulation Techniques[J]. Neural Injury and Functional Reconstruction. 2026, 21(5): 286-289 https://doi.org/10.16780/j.cnki.sjssgncj.20241175

基金

国 家 重 点 研 发 计 划(损伤后神经功 能康复重建技术方 法研究,No. 2022Y FC3602802);中国 康复研究中心临床 研究课题(选择性 周围神经缩窄术联 合康复综合训练治 疗踝关节中枢性痉 挛瘫的临床疗效, No. 2024IIT-30)

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