臀肌重建术的近期疗效观察——应用于脊髓灰质炎后遗症63例报告

THE SHORT-TERM RESULTS OF MUSCLE TRANSFER FOR PARALYSIS OF GLUTAEUS MUSCLE AFTER POLIOMYELITIS:A STUDY OF 63 CASES

本文报告63例臀肌重建术的近期疗效观察,共施行骶棘肌、髂胫束转移重建臀大肌术50次,腹外斜肌转移代臀中肌术57次。随访的42例(43个髋关节)中,32例代臀大肌术后,84.3%肌力增加,平均增加1.28级;37例代臀中肌术后,89.1%肌力增加,平均增加1.68级.作者认为本手术简便实用而有效,能加强髋关节的稳定性,改善步态和下肢行走能力.另就取得良好疗效的关键及手术操作的要点进行了粗浅的讨论.

Sixty-three cases having disability of hip secondary to poliomyelitis were operatedon by muscle transfer for paralysed glutaeus muscles.The kinds of operation weretransfer of erector spinae and tensor fasciae latae muscle for glutaeus maximus(50times)and transfer of external oblique muscle for glutaeus medius(57 times).Follow-up results of 42 cases or 43 hips showed that the muscle power was increased by1.28 grades on the average in 84.3% of cases after erector spinae and tensor fascialatae transfer,and an average of 1.68 grades in 89.1% of cases after external obliquetransfer.The surgical indications and some important points in operations werediscussed.