Therefore, the ankle clonus test had no false-negative or true-positive result and 4 false-positive results ( 8.16%). 因此在本观察中,踝阵挛试验无真阳性和假阴性结果,4例假阳性结果(8.16%)。
As the disease progressed slowly, the patients presented with spastic paralysis of four extremities, reduced muscle strength ( 3 to 4 degree), clasp-knife like of muscular tension, hyperactivity of tendon reflexes, ankle clonus and presence of Babinski sign. 随病情的进展,均出现四肢痉挛性瘫痪,肌力Ⅲ~Ⅳ级,肌张力呈折刀样增高,四肢腱反射亢进,两侧踝阵挛及Babinski征(+)。
Conclusion: The ankle clonus test is a safe, easily performed and early parameter for intraoperative monitoring the spinal cord function during corrective surgery of scoliosis and should be routinely scrutinized. 结论:踝阵挛试验对脊柱侧凸矫形术中脊髓功能的监测具有应用价值,且出现较早、简单易行,应作为常规监测,甚至可取代唤醒试验。
The ankle clonus test in surgery of scoliosis 踝阵挛试验在脊柱侧凸手术中的监测价值
The positive sign of ankle clonus is an another important sign. 踝阵挛阳性是另一有重要意义的体征。
All ankle clonus and pathologic reflexes disappeared. The brisk knee reflex in 12 patients became sluggish after operation. 踝阵挛及病理反射消失率100%,12例术前膝腱反射亢进的患者,术后膝反射减弱。
The ankle clonus test appeared significantly earlier than the wake-up test ( P < 0.001). 踝阵挛出现的时间明显早于唤醒试验(P<0.001)。