双侧臀肌挛缩术后两种不同固定方式比较

Comparison therapeutic effect of two kinds of fixation with gluteal muscle contracture afteroperation

目的比较双侧臀肌挛缩术后屈髋屈膝石膏固定与双膝双髋捆缚固定的疗效。方法对我院1995～2005年间治疗的67例注射性双侧臀肌挛缩症病例随访资料进行回顾性对比分析。其中A组32例,术后采用了屈髋屈膝石膏固定;B组35例,术后采用了双膝双髋捆缚固定,膝下垫软枕,早期并膝屈髋屈膝,下床深蹲功能锻炼。两组手术方式均采用沿臀大肌走行方向斜切口入路,切断纤维化挛缩的臀肌。对两组髋关节功能康复情况分析,比较两组疗效。结果随访6个月～10年,平均5年,A组32例中,优16例,良14例,差2例;B组35例中,优30例,良5例。两者比较B组疗效优于A组。结论臀肌挛缩术后双膝双髋捆缚固定优于屈髋屈膝石膏固定。

Objective Comparison therapeutic effect of flex hip and knee with gypsum fixation and both knees and hip bind fixation of both sides gluteal muscle contracture afteroperation.Methods Contrastive analysis 67 cases of bilateral gluteal muscle contracture patients of Our hospital between 1995 to 2009.32 cases of group A,adopted flex hip and knee with gypsum fixation afteroperation;35 cases of group B,adopted both knees and hip bind fixation afteroperation,and put soft pillow under knees.Flex hip and knees,deep squatting functional exercise in early.All cases under the same operation that released the pathological tissues completely.The surgical procedures are used along the direction of the gluteus maximus traveling oblique incision,abscise the fibering gluteus.evaluation hip function of two groups,Comparison therapeutic effect of two groups.Result All cases were follow up for 6 months to 10 years,average 5 years.In group A,16 were Excellent,14 were good,2 were not good;In group B,30 were Excellent,5 were good.Group B better than Group A.Conclusion Therapeutic effect of both knees and hip bind fixation outstrip flex hip and knee with gypsum fixation