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. 2019 Dec 15;33(12):1584-1588.
doi: 10.7507/1002-1892.201903072.

[Precise diagnosis and treatment of spastic cerebral palsy]

[Article in Chinese]
Xiaoqing He  1 , Yongqing Xu  2 , Xi Yang  1
Affiliations

[Precise diagnosis and treatment of spastic cerebral palsy]

[Article in Chinese]
Xiaoqing He et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To summarize the advancement of precise diagnosis and treatment for spastic cerebral palsy in recent years.

Methods: The literature and own experiences were reviewed, and the surgical method, precise diagnosis, and personalized treatment of spastic cerebral palsy based on the classification of spastic cerebral palsy were summarized and analyzed.

Results: The common classification of spastic cerebral palsy are gross motor function classification system (GMFCS) and manual ability classification system (MACS). The surgical methods of spastic cerebral palsy can be divided into soft tissue surgery, nerve surgery, and bone and joint surgery. The precise diagnosis of spastic cerebral palsy includes qualitative diagnosis, localization diagnosis, and quantitative diagnosis. Based on precise diagnosis and classification, one or more corresponding surgical methods are selected for treatment.

Conclusion: The manifestations of spastic cerebral palsy are so diverse that it is necessary to select rational surgeries based on precise diagnosis to achieve individualized treatment.

目的: 总结近年来痉挛性脑性瘫痪（脑瘫）精细化诊疗的进展。.

方法: 查阅国内外相关文献并结合自身经验，以痉挛性脑瘫分型为基础，从痉挛性脑瘫的手术方法、精细化诊断及个性化治疗等方面进行总结分析。.

结果: 痉挛性脑瘫常见分型标准有总体运动功能分类系统（GMFCS）和手功能分类系统（MACS）；手术方法大体分为软组织手术、神经手术和骨关节手术，各手术方法有其相应适应证。痉挛性脑瘫的诊断需要做到定性诊断、定位诊断和定量诊断，并基于精细的诊断及分型结果，选择一种或数种手术方式进行个性化治疗。.

结论: 痉挛性脑瘫临床表现差异大，需以精细化诊断为基础，合理选择手术方法，实现个性化治疗。.

Keywords: Spastic cerebral palsy; individualized treatment; precise diagnosis; surgical technique.

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Conflict of interest statement

利益冲突：所有作者声明，在课题研究和文章撰写过程中不存在利益冲突。

References

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